Peck, Timothy
Peck, Timothy is an individual health care provider with primary practice located at 2934 Point Mallard Pkwy Se Ste B2 , Decatur AL 35603-5710. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peck, Timothy can be contacted via phone (256) 584-9554.Contact Information
Primary practice address
2934 Point Mallard Pkwy Se Ste B2
Decatur AL 35603-5710
Phone: (256) 584-9554
Fax: (256) 253-5502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6062 | Missouri |
| Chiropractic Providers / Chiropractor | 111N00000X | 038007895 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 1488 | Alabama |
Profile Details
| NPI number | 1609835289 |
|---|---|
| LBN Legal business name | Peck, Timothy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Nov 2nd, 2023 - about last year |
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 | 1609835289 | NPPES |
| Missouri | Other | 105091 | BCBS MISSOURI |
| Missouri | Other | 06007868 | BCBS MISSOURI |
| Missouri | Other | 30447 | BCBS MISSOURI |
| Missouri | Other | 4400120 | BCBS MISSOURI |
| Missouri | Other | 371384821 | BCBS MISSOURI |
| Missouri | Other | U39962 | BCBS MISSOURI |
| Missouri | Other | 1891268439 | BCBS MISSOURI |
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