Peacock, Jon A
Peacock, Jon A is an individual health care provider with primary practice located at 5885 Sunnybrook Dr Suite L-200, Sioux City IA 51106-4203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Peacock, Jon A can be contacted via phone (712) 239-4702.Contact Information
Primary practice address
5885 Sunnybrook Dr Suite L-200
Sioux City IA 51106-4203
Phone: (712) 239-4702
Fax: (712) 224-5898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD-31117 | Iowa |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20074 | Nebraska |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4330 | South Dakota |
Profile Details
| NPI number | 1275507071 |
|---|---|
| LBN Legal business name | Peacock, Jon A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Oct 15th, 2015 - about 10 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 | 1275507071 | NPPES |
| Iowa | MEDICAID | 0135103 |
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