Peck, Jennifer K

Peck, Jennifer K is an sole proprietor health care provider with primary practice located at 3401 Enterprise Pkwy Suite 300, Beachwood OH 44122-7341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Peck, Jennifer K can be contacted via phone (216) 831-5700.

Contact Information

Primary practice address
3401 Enterprise Pkwy Suite 300 Beachwood OH 44122-7341
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1072660 Ohio

Profile Details

NPI number 1154407757
LBN Legal business name Peck, Jennifer K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 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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