Mcpeak, Katie Elizabeth

Mcpeak, Katie Elizabeth is an individual health care provider with primary practice located at 3601 A St Primary Pediatrics, Philadelphia PA 19134-1043. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mcpeak, Katie Elizabeth can be contacted via phone (303) 915-9016.

Contact Information

Primary practice address
3601 A St Primary Pediatrics Philadelphia PA 19134-1043
Phone: (303) 915-9016
Fax: (215) 427-6791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD425879 Pennsylvania

Profile Details

NPI number 1740254507
LBN Legal business name Mcpeak, Katie Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Sep 25th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740254507 NPPES
Pennsylvania MEDICAID 101210749

Popular Providers