Pelsor, Donald August

Pelsor, Donald August is an individual health care provider with primary practice located at 120 W Wenger Rd , Englewood OH 45322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pelsor, Donald August can be contacted via phone (937) 836-9921.

Contact Information

Primary practice address
120 W Wenger Rd Englewood OH 45322
Phone: (937) 836-9921
Fax: (937) 836-1298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35 04 3249P Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102335 IN Indiana

Profile Details

NPI number 1467431569
LBN Legal business name Pelsor, Donald August
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Nov 26th, 2013 - about 12 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 1467431569 NPPES
Ohio Other 000000011347 ANTHEM BCBS
Ohio Other 1220023 ANTHEM BCBS
Ohio MEDICAID 0410531 ANTHEM BCBS
Ohio Other D43249 ANTHEM BCBS
Ohio MEDICAID 2080948 ANTHEM BCBS
Ohio Other NO9285501 ANTHEM BCBS

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