Medina, Peggy Lee

Medina, Peggy Lee is an sole proprietor health care provider with primary practice located at 1539 Ne F St , Grants Pass OR 97526. She recently has only one registered license in Suppliers / Customized Equipment, which is considered as her primary health care specialty. Medina, Peggy Lee can be contacted via phone (541) 956-7647.

Contact Information

Primary practice address
1539 Ne F St Grants Pass OR 97526
Fax: (541) 956-8739
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1952468704
LBN Legal business name Medina, Peggy Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Sep 17th, 2008 - about 16 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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