Peck, Patti Jo
Peck, Patti Jo is an individual health care provider with primary practice located at 200 Jefferson Se , Grand Rapids MI 49503. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Peck, Patti Jo can be contacted via phone (616) 685-5000.Contact Information
Primary practice address
200 Jefferson Se
Grand Rapids MI 49503
Phone: (616) 685-5000
Fax: (616) 685-3084
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 1494303 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704151401 | Michigan |
Profile Details
NPI number | 1063473544 |
---|---|
LBN Legal business name | Peck, Patti Jo |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2006 |
Last updated | Jul 16th, 2009 - about 15 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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