Ercolino, Peter

Ercolino, Peter is an individual health care provider with primary practice located at 1655 Wake Drive Ste 101, Wake Forest NC 27587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ercolino, Peter can be contacted via phone (919) 556-4779.

Contact Information

Primary practice address
1655 Wake Drive Ste 101 Wake Forest NC 27587
Fax: (919) 556-5277
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X North Carolina

Profile Details

NPI number 1386641850
LBN Legal business name Ercolino, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 15 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 1386641850 NPPES
North Carolina MEDICAID 89126J5

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