Peevy, Robert E

Peevy, Robert E is an individual health care provider with primary practice located at 2029 Gordon Cooper Dr , Shawnee OK 74801-9005. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peevy, Robert E can be contacted via phone (405) 878-5850.

Contact Information

Primary practice address
2029 Gordon Cooper Dr Shawnee OK 74801-9005
Phone: (405) 878-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1143 Oklahoma

Profile Details

NPI number 1114925245
LBN Legal business name Peevy, Robert E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jun 21st, 2021 - about 3 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 1114925245 NPPES
Other P00731972 MEDICARE RAILROAD

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