Peacock, Joseph Ronald

Peacock, Joseph Ronald is an individual health care provider with primary practice located at 1020 N Union St , Wilmington DE 19805-2736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Peacock, Joseph Ronald can be contacted via phone (302) 427-9855.

Contact Information

Primary practice address
1020 N Union St Wilmington DE 19805-2736
Phone: (302) 427-9855
Fax: (302) 427-9549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C1-0001924 Delaware

Profile Details

NPI number 1184682106
LBN Legal business name Peacock, Joseph Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 18th, 2012 - about 12 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 1184682106 NPPES
Delaware MEDICAID 0000112301

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