Peck, Courtney
Peck, Courtney is an sole proprietor health care provider with primary practice located at 19 Friendship St , Newport RI 02840-2272. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peck, Courtney can be contacted via phone (401) 849-6868.Contact Information
Primary practice address
19 Friendship St
Newport RI 02840-2272
Phone: (401) 849-6868
Fax: (401) 847-3840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00239 | Rhode Island |
Profile Details
| NPI number | 1386688877 |
|---|---|
| LBN Legal business name | Peck, Courtney |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Aug 3rd, 2012 - about 14 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 | 1386688877 | NPPES |
| Other | 1780672709 | GROUP NPI# |
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