Pelletier, Michael J
Pelletier, Michael J is an sole proprietor health care provider with primary practice located at 1203 Trotwood Avenue , Columbia TN 38401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pelletier, Michael J can be contacted via phone (931) 490-1295.Contact Information
Primary practice address
1203 Trotwood Avenue
Columbia TN 38401
Phone: (931) 490-1295
Fax: (931) 490-1298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 26818 | Tennessee |
Profile Details
| NPI number | 1841295672 |
|---|---|
| LBN Legal business name | Pelletier, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Mar 12th, 2008 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841295672 | NPPES |
| Tennessee | MEDICAID | 30942941 |
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