Peckenpaugh, John Edward

Peckenpaugh, John Edward is an individual health care provider with primary practice located at 17792 147Th St Se , Monroe WA 98272-1030. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Peckenpaugh, John Edward can be contacted via phone (360) 794-4892.

Contact Information

Primary practice address
17792 147Th St Se Monroe WA 98272-1030
Phone: (360) 794-4892
Fax: (360) 794-4679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5558 Washington

Profile Details

NPI number 1235201880
LBN Legal business name Peckenpaugh, John Edward
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jun 30th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235201880 NPPES
Washington MEDICAID 7083330
Washington Other P01310153
Washington MEDICAID 1235201880

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