Peretin, Jessica Palumbo
Peretin, Jessica Palumbo is an individual health care provider with primary practice located at 11110 Medical Campus Rd Suite 248, Hagerstown MD 21742-6700. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Peretin, Jessica Palumbo can be contacted via phone (240) 313-9800.Contact Information
Primary practice address
11110 Medical Campus Rd Suite 248
Hagerstown MD 21742-6700
Phone: (240) 313-9800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 21492 | West Virginia |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD448290 | Pennsylvania |
Profile Details
NPI number | 1245261569 |
---|---|
LBN Legal business name | Peretin, Jessica Palumbo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Apr 22nd, 2021 - about 4 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 | 1245261569 | NPPES |
West Virginia | MEDICAID | 1804751000 |
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