Peacock, Jacob Robert

Peacock, Jacob Robert is an sole proprietor health care provider with primary practice located at 102 Clifton Pl Apt 1A , Brooklyn NY 11238-7218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Peacock, Jacob Robert can be contacted via phone (616) 894-1615.

Contact Information

Primary practice address
102 Clifton Pl Apt 1A Brooklyn NY 11238-7218
Phone: (616) 894-1615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 293819-1 New York

Profile Details

NPI number 1083050785
LBN Legal business name Peacock, Jacob Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated Jul 19th, 2022 - about 4 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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