Pellicani, Ronald J.
Pellicani, Ronald J. is an individual health care provider with primary practice located at 568 George Bishop Pkwy , Myrtle Beach SC 29579-7339. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pellicani, Ronald J. can be contacted via phone (843) 236-2200.Contact Information
Primary practice address
568 George Bishop Pkwy
Myrtle Beach SC 29579-7339
Phone: (843) 236-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1610 | Massachusetts |
| Chiropractic Providers / Chiropractor | 111N00000X | 3616 | South Carolina |
Profile Details
| NPI number | 1558462887 |
|---|---|
| LBN Legal business name | Pellicani, Ronald J. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 26th, 2021 - about 5 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 | 1558462887 | NPPES |
| Massachusetts | MEDICAID | 1610082 | |
| Massachusetts | Other | 994529 | |
| Massachusetts | MEDICAID | CH3616 | |
| Massachusetts | Other | Y36167 | |
| Massachusetts | Other | 181432 | |
| Massachusetts | Other | 0014298 |
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