Peck, Caroline Anne

Peck, Caroline Anne is an individual health care provider with primary practice located at 1616 Capitol Ave Ste 74.3.84, Sacramento CA 95814-5052. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Peck, Caroline Anne can be contacted via phone (916) 552-9940.

Contact Information

Primary practice address
1616 Capitol Ave Ste 74.3.84 Sacramento CA 95814-5052
Phone: (916) 552-9940
Fax: (916) 552-9994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A056319 California
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X A056319 California

Profile Details

NPI number 1114027950
LBN Legal business name Peck, Caroline Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114027950 NPPES
New Mexico MEDICAID 01789813
New Mexico MEDICAID 486896
New Mexico MEDICAID 65924843

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