Peck, Jeremy Walter

Peck, Jeremy Walter is an individual health care provider with primary practice located at 112 Columbia Point Dr Ste 105 , Richland WA 99352-4390. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Peck, Jeremy Walter can be contacted via phone (509) 873-7140.

Contact Information

Primary practice address
112 Columbia Point Dr Ste 105 Richland WA 99352-4390
Phone: (509) 873-7140
Fax: (509) 818-1303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD60343797 Washington
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD60343797 Washington

Profile Details

NPI number 1457514689
LBN Legal business name Peck, Jeremy Walter
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Nov 3rd, 2020 - about 5 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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