Pegram, Maxine
Pegram, Maxine is an sole proprietor health care provider with primary practice located at 100 Orndorf Dr Unit 1216 , Brighton MI 48116-7052. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pegram, Maxine can be contacted via phone (248) 867-0490.Contact Information
Primary practice address
100 Orndorf Dr Unit 1216
Brighton MI 48116-7052
Phone: (248) 867-0490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301019089 | Michigan |
Profile Details
| NPI number | 1255866828 |
|---|---|
| LBN Legal business name | Pegram, Maxine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2017 |
| Last updated | Nov 14th, 2024 - 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.
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