Pelsang, Retta E

Pelsang, Retta E is an individual health care provider with primary practice located at 1970 E 53Rd St , Davenport IA 52807-2710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Pelsang, Retta E can be contacted via phone (563) 359-3949.

Contact Information

Primary practice address
1970 E 53Rd St Davenport IA 52807-2710
Phone: (563) 359-3949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28017 Iowa

Profile Details

NPI number 1548220429
LBN Legal business name Pelsang, Retta E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 9th, 2007 - about 18 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 1548220429 NPPES
Other 02954 BCBS IA RGPCSC
Other 44976 BCBS IA RGPCSC
MEDICAID 1084871 BCBS IA RGPCSC
MEDICAID 4084871 BCBS IA RGPCSC

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