Peckham, Roland Lee
Peckham, Roland Lee is an sole proprietor health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Peckham, Roland Lee can be contacted via phone (513) 519-9281.Contact Information
Primary practice address
300 W Hospital Rd
Fort Gordon GA 30905-5741
Phone: (513) 519-9281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1104146224 |
|---|---|
| LBN Legal business name | Peckham, Roland Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2010 |
| Last updated | Jun 11th, 2010 - about 15 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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