Peacock, Penny Jean
Peacock, Penny Jean is an sole proprietor health care provider with primary practice located at 1612 Ute Blvd 205, Park City UT 84098-7500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Peacock, Penny Jean can be contacted via phone (435) 655-3309.Contact Information
Primary practice address
1612 Ute Blvd 205
Park City UT 84098-7500
Phone: (435) 655-3309
Fax: (435) 655-3392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3764531205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3764531205 | Utah |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 3764531205 | Utah |
Profile Details
| NPI number | 1902864762 |
|---|---|
| LBN Legal business name | Peacock, Penny Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2006 |
| Last updated | May 16th, 2013 - 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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