Pelliccia, Lanny C

Pelliccia, Lanny C is an sole proprietor health care provider with primary practice located at 270 Pierce St Ste 301, Kingston PA 18704-5141. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pelliccia, Lanny C can be contacted via phone (570) 283-3668.

Contact Information

Primary practice address
270 Pierce St Ste 301 Kingston PA 18704-5141
Phone: (570) 283-3668
Fax: (570) 283-0309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC-003688-L Pennsylvania

Profile Details

NPI number 1114922648
LBN Legal business name Pelliccia, Lanny C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Dec 6th, 2007 - about 17 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 1114922648 NPPES
Other U27800 HEALTH ASSURANCE
Other 05152 HEALTH ASSURANCE
Other 232635090 001 HEALTH ASSURANCE
Other 4532974 HEALTH ASSURANCE
Other G09847 HEALTH ASSURANCE
Other 075903 HEALTH ASSURANCE
Other 611664 HEALTH ASSURANCE
Other PE709847 HEALTH ASSURANCE
MEDICAID 001285747/0002 HEALTH ASSURANCE
Other 1502456 HEALTH ASSURANCE
Other 26464 HEALTH ASSURANCE
Other P3179662 HEALTH ASSURANCE
Other 150228 HEALTH ASSURANCE
Other 0528845 HEALTH ASSURANCE
Other 76219 HEALTH ASSURANCE

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