Peck, Michael Scott
Peck, Michael Scott is an sole proprietor health care provider with primary practice located at 1155 Kelly Johnson Blvd #310, Colorado Springs CO 80920-3932. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Peck, Michael Scott can be contacted via phone (719) 574-9800.Contact Information
Primary practice address
1155 Kelly Johnson Blvd #310
Colorado Springs CO 80920-3932
Phone: (719) 574-9800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 251 | Arkansas |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD.0000777 | Colorado |
Profile Details
NPI number | 1770712424 |
---|---|
LBN Legal business name | Peck, Michael Scott |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2009 |
Last updated | Feb 20th, 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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