Peacock, Brian Everett

Peacock, Brian Everett is an sole proprietor health care provider with primary practice located at 5301 Bosque Blvd Suite 330, Waco TX 76710-4458. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Peacock, Brian Everett can be contacted via phone (254) 751-1131.

Contact Information

Primary practice address
5301 Bosque Blvd Suite 330 Waco TX 76710-4458
Phone: (254) 751-1131
Fax: (254) 751-1977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1689965105
LBN Legal business name Peacock, Brian Everett
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2011
Last updated May 2nd, 2011 - about 14 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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