Pack, Peggy
Pack, Peggy is an sole proprietor health care provider with primary practice located at 802 N University Ave , Little Rock AR 72205-2920. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pack, Peggy can be contacted via phone (501) 420-2434.Contact Information
Primary practice address
802 N University Ave
Little Rock AR 72205-2920
Phone: (501) 420-2434
Fax: (888) 388-5166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0785 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 11-11P | Arkansas |
Profile Details
| NPI number | 1740264639 |
|---|---|
| LBN Legal business name | Pack, Peggy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2005 |
| Last updated | Jul 23rd, 2014 - about 12 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 | 1740264639 | NPPES |
| Arkansas | Other | P01014233 | RR MEDICARE |
| Arkansas | Other | 1200633 | RR MEDICARE |
| Arkansas | Other | 13386583 | RR MEDICARE |
| Arkansas | MEDICAID | 190865719 | RR MEDICARE |
| Arkansas | Other | 11386583 | RR MEDICARE |
| Arkansas | Other | 5V939 | RR MEDICARE |
| Arkansas | Other | HUKY0818 | RR MEDICARE |
| Arkansas | Other | 12020012900 | RR MEDICARE |
| Arkansas | Other | 000000033491 | RR MEDICARE |
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