Peloso, Ole Anthony
Peloso, Ole Anthony is an individual health care provider with primary practice located at 801 Encino Pl Ne Ste C12, Albuquerque NM 87102-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Peloso, Ole Anthony can be contacted via phone (505) 247-4849.Contact Information
Primary practice address
801 Encino Pl Ne Ste C12
Albuquerque NM 87102-2612
Phone: (505) 247-4849
Fax: (505) 247-4850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 6965 | New Mexico |
Profile Details
| NPI number | 1467448688 |
|---|---|
| LBN Legal business name | Peloso, Ole Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467448688 | NPPES |
| Other | 23312 | PHP | |
| Other | NM012133 | PHP | |
| MEDICAID | 21337 | PHP |
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