Peacock, Jill
Peacock, Jill is an sole proprietor health care provider with primary practice located at 2427 E 137Th Ave , Thornton CO 80602-7249. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Peacock, Jill can be contacted via phone (303) 920-7169.Contact Information
Primary practice address
2427 E 137Th Ave
Thornton CO 80602-7249
Phone: (303) 920-7169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9204 | Colorado |
Profile Details
| NPI number | 1912117839 |
|---|---|
| LBN Legal business name | Peacock, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1912117839 | NPPES |
| Colorado | MEDICAID | 23150751 |
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