Peachey, Keith

Peachey, Keith is an individual health care provider with primary practice located at 834 N Seminary St 201, Galesburg IL 61401-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peachey, Keith can be contacted via phone (309) 343-7135.

Contact Information

Primary practice address
834 N Seminary St 201 Galesburg IL 61401-2852
Phone: (309) 343-7135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1184623746
LBN Legal business name Peachey, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Dec 3rd, 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 1184623746 NPPES
Illinois MEDICAID 0360811401

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