Ku, Peggy

Ku, Peggy is an individual health care provider with primary practice located at 345 N Main St Suite 242, West Hartford CT 06117-2515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ku, Peggy can be contacted via phone (860) 231-1644.

Contact Information

Primary practice address
345 N Main St Suite 242 West Hartford CT 06117-2515
Fax: (860) 231-8868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 045402 Connecticut

Profile Details

NPI number 1700087228
LBN Legal business name Ku, Peggy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Oct 7th, 2008 - about 17 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 1700087228 NPPES
Connecticut Other 040045402CT01 ANTHEM
Connecticut Other 045402 ANTHEM
Connecticut MEDICAID 001454024 ANTHEM

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