Peck, Brian
Peck, Brian is an sole proprietor health care provider with primary practice located at 2076 S Eagle Rd , Meridian ID 83642-6707. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Peck, Brian can be contacted via phone (208) 860-6675.Contact Information
Primary practice address
2076 S Eagle Rd
Meridian ID 83642-6707
Phone: (208) 860-6675
Fax: (208) 955-7330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LMSW-31616 | Idaho |
Profile Details
| NPI number | 1447537436 |
|---|---|
| LBN Legal business name | Peck, Brian |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2011 |
| Last updated | Feb 22nd, 2012 - about 13 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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