Peacock, Michael James

Peacock, Michael James is an sole proprietor health care provider with primary practice located at 113 E F St , Tehachapi CA 93561-1710. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Peacock, Michael James can be contacted via phone (661) 822-8223.

Contact Information

Primary practice address
113 E F St Tehachapi CA 93561-1710
Phone: (661) 822-8223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301016803 Michigan
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1538613948
LBN Legal business name Peacock, Michael James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2016
Last updated Mar 13th, 2019 - about 5 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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