Peck, Michael Glen

Peck, Michael Glen is an individual health care provider with primary practice located at 822 Clark St Suite 400, Pearl Harbor HI 96860-4652. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Peck, Michael Glen can be contacted via phone (808) 473-1094.

Contact Information

Primary practice address
822 Clark St Suite 400 Pearl Harbor HI 96860-4652
Phone: (808) 473-1094
Fax: (808) 473-3109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1407898539
LBN Legal business name Peck, Michael Glen
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 17 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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