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Contact Information

MICHELLE R PELLERIN, PA
6801 PHOENIX AVE STE 2
FORT SMITH, AR72903-5299
 Phone: 479-384-5378
 Fax: 479-385-5379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHELLE R PELLERIN · (Female)

NPI Number 1780691816
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/02/2006
Last updated 07/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # PA-575
  • ID Medicaid 807321700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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