Peck, Susan Elizabeth

Peck, Susan Elizabeth is an sole proprietor health care provider with primary practice located at 701 E Hampden Ave Suite 120, Englewood CO 80113-2736. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Peck, Susan Elizabeth can be contacted via phone (303) 788-5483.

Contact Information

Primary practice address
701 E Hampden Ave Suite 120 Englewood CO 80113-2736
Phone: (303) 788-5483
Fax: (303) 781-5809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31011 Colorado

Profile Details

NPI number 1104852169
LBN Legal business name Peck, Susan Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Apr 29th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104852169 NPPES
Colorado MEDICAID 01310119

Popular Providers