Pellegrom, Colin William

Pellegrom, Colin William is an individual health care provider with primary practice located at 575 Robbins Rd , Grand Haven MI 49417-2695. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pellegrom, Colin William can be contacted via phone (616) 842-2850.

Contact Information

Primary practice address
575 Robbins Rd Grand Haven MI 49417-2695
Phone: (616) 842-2850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901601824 Michigan

Profile Details

NPI number 1851078422
LBN Legal business name Pellegrom, Colin William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2023
Last updated Jul 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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