Peck, Nathan Frank

Peck, Nathan Frank is an sole proprietor health care provider with primary practice located at 123 Lomax St , Boone NC 28607-7112. 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, Nathan Frank can be contacted via phone (803) 381-8810.

Contact Information

Primary practice address
123 Lomax St Boone NC 28607-7112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X LAT-2656 North Carolina

Profile Details

NPI number 1679072078
LBN Legal business name Peck, Nathan Frank
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2018
Last updated Feb 12th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679072078 NPPES
North Carolina Other YPYW16309194 BCBS

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