Peckham, Mark

Peckham, Mark is an sole proprietor health care provider with primary practice located at 2296 Country Dr , Fremont CA 94536-5315. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Peckham, Mark can be contacted via phone (510) 608-3733.

Contact Information

Primary practice address
2296 Country Dr Fremont CA 94536-5315
Phone: (510) 608-3733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2445 California

Profile Details

NPI number 1932342219
LBN Legal business name Peckham, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2009
Last updated Apr 15th, 2009 - about 16 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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