Peck, Mark

Peck, Mark is an sole proprietor health care provider with primary practice located at 1102 Sw 23Rd St , Moore OK 73170-7491. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Peck, Mark can be contacted via phone (405) 613-6428.

Contact Information

Primary practice address
1102 Sw 23Rd St Moore OK 73170-7491
Phone: (405) 613-6428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1972844223
LBN Legal business name Peck, Mark
Credentials BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2013
Last updated Mar 12th, 2013 - about 13 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.

Request for update

Popular Providers