Peck, Marcia C

Peck, Marcia C is an sole proprietor health care provider with primary practice located at 20130 Lake Chabot Rd Suite 201, Castro Valley CA 94546-5340. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Peck, Marcia C can be contacted via phone (510) 204-2574.

Contact Information

Primary practice address
20130 Lake Chabot Rd Suite 201 Castro Valley CA 94546-5340
Phone: (510) 204-2574
Fax: (510) 886-8466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A75655 California

Profile Details

NPI number 1376569475
LBN Legal business name Peck, Marcia C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Mar 11th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376569475 NPPES
California Other A75655 MEDICAL LICENSE

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