Pellicani, Ronald J.

Pellicani, Ronald J. is an individual health care provider with primary practice located at 568 George Bishop Pkwy , Myrtle Beach SC 29579-7339. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pellicani, Ronald J. can be contacted via phone (843) 236-2200.

Contact Information

Primary practice address
568 George Bishop Pkwy Myrtle Beach SC 29579-7339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1610 Massachusetts
Chiropractic Providers / Chiropractor 111N00000X 3616 South Carolina

Profile Details

NPI number 1558462887
LBN Legal business name Pellicani, Ronald J.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Feb 26th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558462887 NPPES
Massachusetts MEDICAID 1610082
Massachusetts Other 994529
Massachusetts MEDICAID CH3616
Massachusetts Other Y36167
Massachusetts Other 181432
Massachusetts Other 0014298

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