Peacock, James

Peacock, James is an individual health care provider with primary practice located at 101 Page St , New Bedford MA 02740-3464. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peacock, James can be contacted via phone (508) 973-5006.

Contact Information

Primary practice address
101 Page St New Bedford MA 02740-3464
Phone: (508) 973-5006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA36627 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 255585 Massachusetts

Profile Details

NPI number 1306892062
LBN Legal business name Peacock, James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 19th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306892062 NPPES
Rhode Island Other 1286 BLUE CROSS PROVIDER NUMBER
Rhode Island Other 001803 BLUE CROSS PROVIDER NUMBER
Rhode Island Other 1306892062 BLUE CROSS PROVIDER NUMBER

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