Pellegrino, Mark J.

Pellegrino, Mark J. is an individual health care provider with primary practice located at 6651 Frank Ave Nw , North Canton OH 44720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Pellegrino, Mark J. can be contacted via phone (330) 498-9865.

Contact Information

Primary practice address
6651 Frank Ave Nw North Canton OH 44720
Phone: (330) 498-9865
Fax: (330) 498-9869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35050212 Ohio

Profile Details

NPI number 1538170691
LBN Legal business name Pellegrino, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 2nd, 2016 - 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 1538170691 NPPES
Ohio Other 341750133 SUMMACARE
Ohio Other 341898905030 SUMMACARE
Ohio Other 250011247 SUMMACARE
Ohio Other 000000141768 SUMMACARE
Ohio Other 341898905B SUMMACARE
Ohio MEDICAID 0715739 SUMMACARE

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