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
Phone: (937) 328-5300
Fax: (937) 322-4900
Website:
Health care specialties
| Specialty | Code | License # | 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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