Individual
DR. RONALD J. PELLICANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
568 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7339
(843) 236-2200
Mailing address
4016 RIVER OAKS DR # 149, MYRTLE BEACH, SC 29579-6673
(843) 236-2200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1610
MA
111N00000X
Chiropractor
Primary
3616
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014298
NEIGHBORHOOD HEALTH PLAN
MA
05
—
1610082
—
MA
01
—
181432
AETNA
MA
01
—
994529
NETWORK HEALTH PLAN
MA
05
—
CH3616
—
SC
01
—
Y36167
BC/BS OF MA
MA
Enumeration date
09/26/2006
Last updated
02/26/2021
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