Peachey, Jonathan C

Peachey, Jonathan C is an individual health care provider with primary practice located at 1010 Spruce St Espanola Hospital, Espanola NM 87532-2724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Peachey, Jonathan C can be contacted via phone (505) 753-7111.

Contact Information

Primary practice address
1010 Spruce St Espanola Hospital Espanola NM 87532-2724
Phone: (505) 753-7111
Fax: (505) 753-4438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R36036 New Mexico

Profile Details

NPI number 1184749970
LBN Legal business name Peachey, Jonathan C
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - 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 1184749970 NPPES
New Mexico MEDICAID K6225

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