Peacock, Loverd Michael
Peacock, Loverd Michael is an individual health care provider with primary practice located at 4301 W Markham St , Little Rock AR 72205-7101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Therapeutic Radiology is his primary health care specialty. Peacock, Loverd Michael can be contacted via phone (501) 686-8000.Contact Information
Primary practice address
4301 W Markham St
Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 526-5148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | C-4409 | Arkansas |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | C-4409 | Arkansas |
Profile Details
| NPI number | 1831141829 |
|---|---|
| LBN Legal business name | Peacock, Loverd Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 18th, 2016 - about 9 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 | 1831141829 | NPPES |
| Arkansas | Other | CAQH | 11476043 |
| Arkansas | Other | 52827 | 11476043 |
| Arkansas | MEDICAID | 115749001 | 11476043 |
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