Tristram, Debra A

Tristram, Debra A is an individual health care provider with primary practice located at 2150 Herbert Ct Ecu Physicians Pediatric Specialty Care Clinic, Greenville NC 27834-3736. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Tristram, Debra A can be contacted via phone (252) 744-5437.

Contact Information

Primary practice address
2150 Herbert Ct Ecu Physicians Pediatric Specialty Care Clinic Greenville NC 27834-3736
Phone: (252) 744-5437
Fax: (252) 744-1514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 9801788 North Carolina

Profile Details

NPI number 1306829015
LBN Legal business name Tristram, Debra A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Mar 15th, 2012 - about 12 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 1306829015 NPPES
North Carolina Other 11649 BCBS NC
North Carolina MEDICAID 8911649 BCBS NC
North Carolina Other 370015918 BCBS NC

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