Peacock, Marianne
Peacock, Marianne is an individual health care provider with primary practice located at 1115 S Union St , Traverse City MI 49684-3258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peacock, Marianne can be contacted via phone (231) 935-0550.Contact Information
Primary practice address
1115 S Union St
Traverse City MI 49684-3258
Phone: (231) 935-0550
Fax: (231) 935-0551
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704219432 | Michigan |
Profile Details
NPI number | 1386631455 |
---|---|
LBN Legal business name | Peacock, Marianne |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2005 |
Last updated | Aug 10th, 2009 - about 16 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 | 1386631455 | NPPES |
Michigan | Other | 08774010 | BCBS OF MICHIGAN |
Michigan | Other | 0B81224 | BCBS OF MICHIGAN |
Michigan | Other | 1386631455 | BCBS OF MICHIGAN |
Michigan | Other | 0P24620 | BCBS OF MICHIGAN |
Michigan | Other | 1245283365 | BCBS OF MICHIGAN |
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