Peck, Molly Marie
Peck, Molly Marie is an individual health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Peck, Molly Marie can be contacted via phone (985) 898-4000.Contact Information
Primary practice address
1202 S Tyler St
Covington LA 70433-2330
Phone: (985) 898-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 219190 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 219190 | Louisiana |
Profile Details
NPI number | 1548849680 |
---|---|
LBN Legal business name | Peck, Molly Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2021 |
Last updated | Apr 6th, 2021 - about 3 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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