Peck, Eric P.

Peck, Eric P. is an sole proprietor health care provider with primary practice located at 90 Beaver Dr Building C, Du Bois PA 15801-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peck, Eric P. can be contacted via phone (814) 371-2273.

Contact Information

Primary practice address
90 Beaver Dr Building C Du Bois PA 15801-2440
Fax: (814) 371-2500
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS-010983-L Pennsylvania

Profile Details

NPI number 1255347852
LBN Legal business name Peck, Eric P.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Sep 11th, 2020 - about 4 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 1255347852 NPPES
Pennsylvania MEDICAID 0018251700002
Pennsylvania Other P00663727
Pennsylvania Other 61854
Pennsylvania Other 2078210
Pennsylvania Other V0075D

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