Peden, Robert M

Peden, Robert M is an sole proprietor health care provider with primary practice located at 2817 Reilly St , Fort Bragg NC 28310-3075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Peden, Robert M can be contacted via phone (910) 907-6000.

Contact Information

Primary practice address
2817 Reilly St Fort Bragg NC 28310-3075
Phone: (910) 907-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 191894 North Carolina

Profile Details

NPI number 1710985601
LBN Legal business name Peden, Robert M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Dec 2nd, 2022 - about 2 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 1710985601 NPPES
North Carolina MEDICAID 8052014

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