Rubin-Peck, Elizabeth Diane
Rubin-Peck, Elizabeth Diane is an individual health care provider with primary practice located at 1600 W 22Nd St , Sioux Falls SD 57105-1521. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Rubin-Peck, Elizabeth Diane can be contacted via phone (605) 312-1000.Contact Information
Primary practice address
1600 W 22Nd St
Sioux Falls SD 57105-1521
Phone: (605) 312-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 8400 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 94-06746 | Kansas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 8400 | South Dakota |
Profile Details
| NPI number | 1669678777 |
|---|---|
| LBN Legal business name | Rubin-Peck, Elizabeth Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Dec 5th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669678777 | NPPES |
| Kansas | MEDICAID | 200675960A | |
| Kansas | Other | KA2129017 |
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