Pellom, Andrea
Pellom, Andrea is an sole proprietor health care provider with primary practice located at 3319 W Belvedere Ave , Baltimore MD 21215-5143. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Pellom, Andrea can be contacted via phone (410) 542-7800.Contact Information
Primary practice address
3319 W Belvedere Ave
Baltimore MD 21215-5143
Phone: (410) 542-7800
Fax: (410) 542-2039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 7148 | Maryland |
Profile Details
| NPI number | 1942670799 |
|---|---|
| LBN Legal business name | Pellom, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2015 |
| Last updated | Oct 5th, 2015 - about 10 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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