Pernicano, Perry G

Pernicano, Perry G is an individual health care provider with primary practice located at 1500 East Medical Center Dr B1 Floor University Hospital Recp C, Ann Arbor MI 48109-5030. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Pernicano, Perry G can be contacted via phone (734) 936-4566.

Contact Information

Primary practice address
1500 East Medical Center Dr B1 Floor University Hospital Recp C Ann Arbor MI 48109-5030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 4301404853 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301404853 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 4301404853 Michigan

Profile Details

NPI number 1013098037
LBN Legal business name Pernicano, Perry G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 15th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013098037 NPPES
Michigan MEDICAID 2586182

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