Peck, Dennis F

Peck, Dennis F is an individual health care provider with primary practice located at 413 Lilly Road Ne Providence St Peter Hospital, Olympia WA 98506-5166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Peck, Dennis F can be contacted via phone (360) 491-9480.

Contact Information

Primary practice address
413 Lilly Road Ne Providence St Peter Hospital Olympia WA 98506-5166
Phone: (360) 491-9480
Fax: (360) 459-4361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD00017823 Washington

Profile Details

NPI number 1780645366
LBN Legal business name Peck, Dennis F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 18th, 2007 - about 18 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 1780645366 NPPES
Washington MEDICAID 8101883
Washington Other 203967

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