Peck, Michael L.

Peck, Michael L. is an individual health care provider with primary practice located at 3130 Grandview Rd , Hanover PA 17331-9134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Peck, Michael L. can be contacted via phone (717) 632-2088.

Contact Information

Primary practice address
3130 Grandview Rd Hanover PA 17331-9134
Phone: (717) 632-2088
Fax: (717) 637-9482
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X XP1503172 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS006590L Pennsylvania

Profile Details

NPI number 1265427306
LBN Legal business name Peck, Michael L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 30th, 2015 - about 9 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 1265427306 NPPES
Pennsylvania MEDICAID 001133191

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