Pellish, Larry J

Pellish, Larry J is an individual health care provider with primary practice located at 777 North St Suite 203, Pittsfield MA 01201-4147. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pellish, Larry J can be contacted via phone (413) 499-8590.

Contact Information

Primary practice address
777 North St Suite 203 Pittsfield MA 01201-4147
Phone: (413) 499-8590
Fax: (413) 499-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 40795 Massachusetts

Profile Details

NPI number 1821069832
LBN Legal business name Pellish, Larry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jul 8th, 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 1821069832 NPPES
New York MEDICAID 00536205
New York Other 10034390
New York Other 15329
New York MEDICAID 2056186
New York Other 365677
New York Other A66253
New York Other 040795
New York Other I22244

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