Provider Demographics
NPI:1639325830
Name:PELLMAN'S, LLC
Entity Type:Organization
Organization Name:PELLMAN'S, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:ALLERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-684-5475
Mailing Address - Street 1:300 NORTH MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525
Mailing Address - Country:US
Mailing Address - Phone:337-684-5475
Mailing Address - Fax:337-684-5562
Practice Address - Street 1:300 NORTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525
Practice Address - Country:US
Practice Address - Phone:337-684-5475
Practice Address - Fax:337-684-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies