Pegado, Victor D

Pegado, Victor D is an individual health care provider with primary practice located at 1 Childrens Pl , Saint Louis MO 63110-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pegado, Victor D can be contacted via phone (314) 454-6026.

Contact Information

Primary practice address
1 Childrens Pl Saint Louis MO 63110-1002
Phone: (314) 454-6026
Fax: (314) 454-2368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2005025719 Missouri

Profile Details

NPI number 1659397974
LBN Legal business name Pegado, Victor D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 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 1659397974 NPPES
Other 200816 MO-BLUE SHIELD

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