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Contact Information

MIKEAYLA PELLEGRINO
103 E MANSION ST RICKETSON BUILDING
MARSHALL, MI49068
 Phone: 269-789-8982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MIKEAYLA PELLEGRINO · (Female)

NPI # 1003413774
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2020
Last updated 10/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 7151013295
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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