Peacock, Munro

Peacock, Munro is an individual health care provider with primary practice located at 541 Clinical Dr Cl 365, Indianapolis IN 46202-5111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Peacock, Munro can be contacted via phone (317) 274-4359.

Contact Information

Primary practice address
541 Clinical Dr Cl 365 Indianapolis IN 46202-5111
Phone: (317) 274-4359
Fax: (317) 274-4311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01035819 Indiana

Profile Details

NPI number 1376508135
LBN Legal business name Peacock, Munro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 6th, 2010 - about 15 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 1376508135 NPPES
Indiana MEDICAID 100128860

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