Peckinpaugh, James Matthew

Peckinpaugh, James Matthew is an individual health care provider with primary practice located at 2402 South Cannon Blvd , Kannapolis NC 28083-6910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peckinpaugh, James Matthew can be contacted via phone (704) 938-4886.

Contact Information

Primary practice address
2402 South Cannon Blvd Kannapolis NC 28083-6910
Fax: (704) 938-5644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39059 North Carolina

Profile Details

NPI number 1104907997
LBN Legal business name Peckinpaugh, James Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 15th, 2008 - about 17 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 1104907997 NPPES
North Carolina Other 66442 BLUE CROSS
North Carolina MEDICAID 8966442 BLUE CROSS

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