Peck, Jared

Peck, Jared is an sole proprietor health care provider with primary practice located at 2624 Lexington Ave , Springfield OH 45505. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Peer Specialist is his primary health care specialty. Peck, Jared can be contacted via phone (937) 328-5300.

Contact Information

Primary practice address
2624 Lexington Ave Springfield OH 45505
Fax: (937) 322-4900
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 00678 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X CDCA.164909 Ohio

Profile Details

NPI number 1497267116
LBN Legal business name Peck, Jared
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2017
Last updated Oct 4th, 2019 - about 7 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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