Peaco, Matthew

Peaco, Matthew is an individual health care provider with primary practice located at 1145 Sagamore Ave , Portsmouth NH 03801-5503. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Peaco, Matthew can be contacted via phone (603) 431-6703.

Contact Information

Primary practice address
1145 Sagamore Ave Portsmouth NH 03801-5503
Fax: (603) 430-3753
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X New Hampshire

Profile Details

NPI number 1649785502
LBN Legal business name Peaco, Matthew
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Dec 13th, 2017 - about 8 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 1649785502 NPPES
New Hampshire MEDICAID 3078870

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