Peck, Tatyana B
Peck, Tatyana B is an individual health care provider with primary practice located at 10634 E Riverside Dr Suite 130, Bothell WA 98011-3757. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peck, Tatyana B can be contacted via phone (425) 806-5021.Contact Information
Primary practice address
10634 E Riverside Dr Suite 130
Bothell WA 98011-3757
Phone: (425) 806-5021
Fax: (425) 486-3949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | TA60056707 | Washington |
Profile Details
| NPI number | 1669611380 |
|---|---|
| LBN Legal business name | Peck, Tatyana B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2009 |
| Last updated | Nov 5th, 2012 - about 13 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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