Individual
DR. LINETTE JEANNA EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7331
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1971
(757) 668-7331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
S0284
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0102202051
VA
208D00000X
General Practice Physician
0102202051
VA
208D00000X
General Practice Physician
DO.1129
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400636301
—
TX
01
—
400636302
MEDICAID CSHCN
TX
01
—
8LK675
BCBS
TX
Enumeration date
10/17/2006
Last updated
09/24/2024
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