Peshek, Brian Alexander

Peshek, Brian Alexander is an individual health care provider with primary practice located at 1500 Abbot Rd Ste 400 , East Lansing MI 48823-1956. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Peshek, Brian Alexander can be contacted via phone (517) 332-0100.

Contact Information

Primary practice address
1500 Abbot Rd Ste 400 East Lansing MI 48823-1956
Phone: (517) 332-0100
Fax: (517) 332-0356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 7733A Wyoming
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301080097 Michigan
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 7733A Wyoming

Profile Details

NPI number 1952528572
LBN Legal business name Peshek, Brian Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jan 26th, 2015 - about 10 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 1952528572 NPPES
Michigan MEDICAID 1952528572
Michigan MEDICAID W21458
Michigan MEDICAID W21454

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