Pellicano, Edward
Pellicano, Edward is an individual health care provider with primary practice located at 1915 Eisenhower Dr , Savannah GA 31406-5027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pellicano, Edward can be contacted via phone (912) 356-2011.Contact Information
Primary practice address
1915 Eisenhower Dr
Savannah GA 31406-5027
Phone: (912) 356-2011
Fax: (912) 351-3538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 037330 | Georgia |
Profile Details
| NPI number | 1225094402 |
|---|---|
| LBN Legal business name | Pellicano, Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Mar 28th, 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 | 1225094402 | NPPES |
| Georgia | Other | 037330 | LICENSE |
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