Peck, Christopher Previn

Peck, Christopher Previn is an individual health care provider with primary practice located at 220 24Th St S , Wisconsin Rapids WI 54494-1908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Peck, Christopher Previn can be contacted via phone (715) 424-8600.

Contact Information

Primary practice address
220 24Th St S Wisconsin Rapids WI 54494-1908
Phone: (715) 424-8600
Fax: (715) 424-8341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 47070 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48720 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48720-20 Wisconsin

Profile Details

NPI number 1912959313
LBN Legal business name Peck, Christopher Previn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 6th, 2023 - about 2 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 1912959313 NPPES
Wisconsin MEDICAID 34825000

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