Peacock, Oliver

Peacock, Oliver is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Peacock, Oliver can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 82328 Minnesota
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 47259 Texas

Profile Details

NPI number 1225686413
LBN Legal business name Peacock, Oliver
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2019
Last updated May 13th, 2026 - about 5 months 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 1225686413 NPPES
Texas Other 422690402 CSHCN
Texas MEDICAID 422690401 CSHCN

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