Pegram, Linda D
Pegram, Linda D is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Pegram, Linda D can be contacted via phone (757) 668-7007.Contact Information
Primary practice address
601 Childrens Ln
Norfolk VA 23507-1910
Phone: (757) 668-7007
Fax: (757) 668-8658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 0101236215 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101236215 | Virginia |
Profile Details
| NPI number | 1023064664 |
|---|---|
| LBN Legal business name | Pegram, Linda D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 25th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023064664 | NPPES |
| Maryland | MEDICAID | 002963700 | |
| Maryland | MEDICAID | 010061709 | |
| Maryland | MEDICAID | 8906654 | |
| Maryland | Other | 0101236215 |
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