Pisarello, Jorge B
Pisarello, Jorge B is an individual health care provider with primary practice located at 107 Fairview Park Dr , Dublin GA 31021-2501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pisarello, Jorge B can be contacted via phone (478) 864-3448.Contact Information
Primary practice address
107 Fairview Park Dr
Dublin GA 31021-2501
Phone: (478) 864-3448
Fax: (478) 864-1288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | MD027109E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 58914 | Georgia |
Profile Details
| NPI number | 1992795876 |
|---|---|
| LBN Legal business name | Pisarello, Jorge B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | May 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992795876 | NPPES |
| Georgia | Other | 58914 | MEDICAL LICENSE |
| Georgia | Other | 1235131137 | MEDICAL LICENSE |
| Georgia | MEDICAID | 1992795876 | MEDICAL LICENSE |
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