Peacock, Jacob Robert
Peacock, Jacob Robert is an sole proprietor health care provider with primary practice located at 102 Clifton Pl Apt 1A , Brooklyn NY 11238-7218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Peacock, Jacob Robert can be contacted via phone (616) 894-1615.Contact Information
Primary practice address
102 Clifton Pl Apt 1A
Brooklyn NY 11238-7218
Phone: (616) 894-1615
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 293819-1 | New York |
Profile Details
NPI number | 1083050785 |
---|---|
LBN Legal business name | Peacock, Jacob Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 21st, 2013 |
Last updated | Jul 19th, 2022 - about 3 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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