Peckham, Earlene Jane
Peckham, Earlene Jane is an sole proprietor health care provider with primary practice located at 191 Fountain St , New Haven CT 06515-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peckham, Earlene Jane can be contacted via phone (203) 946-6606.Contact Information
Primary practice address
191 Fountain St
New Haven CT 06515-1901
Phone: (203) 946-6606
Fax: (203) 946-6637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 000425 | Connecticut |
Profile Details
| NPI number | 1619901535 |
|---|---|
| LBN Legal business name | Peckham, Earlene Jane |
| Credentials | APRN,CPNP,MSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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