Pendell, Gregory George

Pendell, Gregory George is an individual health care provider with primary practice located at 1704 Sir William Osler Dr , Virginia Beach VA 23454-3003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Pendell, Gregory George can be contacted via phone (757) 481-4383.

Contact Information

Primary practice address
1704 Sir William Osler Dr Virginia Beach VA 23454-3003
Fax: (757) 481-4611
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101242680 Virginia

Profile Details

NPI number 1831172121
LBN Legal business name Pendell, Gregory George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Aug 2nd, 2016 - about 10 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 1831172121 NPPES
Virginia MEDICAID 1831172121

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