Peachey, Trent Joseph
Peachey, Trent Joseph is an individual health care provider with primary practice located at 103 Ga Highway 27 E , Americus GA 31709-3800. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Peachey, Trent Joseph can be contacted via phone (229) 924-8082.Contact Information
Primary practice address
103 Ga Highway 27 E
Americus GA 31709-3800
Phone: (229) 924-8082
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN 222478 | Georgia |
Profile Details
| NPI number | 1114474673 |
|---|---|
| LBN Legal business name | Peachey, Trent Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Mar 23rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114474673 | NPPES |
| Georgia | MEDICAID | 003183526A | |
| Georgia | Other | RN222478 |
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