Peck, Marianne Bergquist

Peck, Marianne Bergquist is an sole proprietor health care provider with primary practice located at 1720 S Beckham Ave Ste 104 , Tyler TX 75701-4437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Peck, Marianne Bergquist can be contacted via phone (903) 597-2002.

Contact Information

Primary practice address
1720 S Beckham Ave Ste 104 Tyler TX 75701-4437
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X P5706 Texas

Profile Details

NPI number 1851647887
LBN Legal business name Peck, Marianne Bergquist
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2012
Last updated May 7th, 2026 - about 6 months 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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