Peloso, Ole Anthony

Peloso, Ole Anthony is an individual health care provider with primary practice located at 801 Encino Pl Ne Ste C12, Albuquerque NM 87102-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Peloso, Ole Anthony can be contacted via phone (505) 247-4849.

Contact Information

Primary practice address
801 Encino Pl Ne Ste C12 Albuquerque NM 87102-2612
Phone: (505) 247-4849
Fax: (505) 247-4850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6965 New Mexico

Profile Details

NPI number 1467448688
LBN Legal business name Peloso, Ole Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1467448688 NPPES
Other 23312 PHP
Other NM012133 PHP
MEDICAID 21337 PHP

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