Peck, Michael Wayne

Peck, Michael Wayne is an sole proprietor health care provider with primary practice located at 2240 Winrow Rd , Fort Huachuca AZ 85613-5080. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Peck, Michael Wayne can be contacted via phone (520) 533-9102.

Contact Information

Primary practice address
2240 Winrow Rd Fort Huachuca AZ 85613-5080
Phone: (520) 533-9102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X ATH.J00300 Louisiana

Profile Details

NPI number 1881801017
LBN Legal business name Peck, Michael Wayne
Credentials MS, ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jan 18th, 2014 - about 11 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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