Peck, Patricia R
Peck, Patricia R is an individual health care provider with primary practice located at 30937 S Indian Hills Rd , Osage City KS 66523-9089. She recently has only one registered license in Nursing Service Providers / Infusion Therapy, which is considered as her primary health care specialty. Peck, Patricia R can be contacted via phone (816) 820-7483.Contact Information
Primary practice address
30937 S Indian Hills Rd
Osage City KS 66523-9089
Phone: (816) 820-7483
Fax: (816) 956-0026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Infusion Therapy | 163WI0500X | 13-87587-052 | Kansas |
Profile Details
| NPI number | 1205426954 |
|---|---|
| LBN Legal business name | Peck, Patricia R |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2021 |
| Last updated | Jan 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205426954 | NPPES |
| Kansas | Other | A-070-004 | HOME HEALTH AGENCY LICENSE |
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