Carek, Peter John
Carek, Peter John is an individual health care provider with primary practice located at 877 W Faris Rd , Greenville SC 29605-4289. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Carek, Peter John can be contacted via phone (864) 455-7800.Contact Information
Primary practice address
877 W Faris Rd
Greenville SC 29605-4289
Phone: (864) 455-7800
Fax: (864) 455-9082
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME117968 | Florida |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14039 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 14039 | South Carolina |
Profile Details
NPI number | 1255449294 |
---|---|
LBN Legal business name | Carek, Peter John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | Nov 23rd, 2022 - about 3 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 | 1255449294 | NPPES |
South Carolina | MEDICAID | 140396 | |
South Carolina | MEDICAID | 010157800 |
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