Kerlegrand, Pascale
Kerlegrand, Pascale is an sole proprietor health care provider with primary practice located at 198 Bloomfield Ave Apt 410 , Bloomfield NJ 07003-5781. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kerlegrand, Pascale can be contacted via phone (917) 603-0070.Contact Information
Primary practice address
198 Bloomfield Ave Apt 410
Bloomfield NJ 07003-5781
Phone: (917) 603-0070
Fax: (973) 338-0046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 196627 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA07371300 | New Jersey |
Profile Details
| NPI number | 1144344094 |
|---|---|
| LBN Legal business name | Kerlegrand, Pascale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2007 |
| Last updated | Jul 21st, 2022 - 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 | 1144344094 | NPPES |
| New York | MEDICAID | 01872848 | |
| New York | MEDICAID | 0255564 |
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