Peck, Patricia
Peck, Patricia is an individual health care provider with primary practice located at 209 Gibson St Nw , Leesburg VA 20176-2122. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Peck, Patricia can be contacted via phone (703) 396-6197.Contact Information
Primary practice address
209 Gibson St Nw
Leesburg VA 20176-2122
Phone: (703) 396-6197
Fax: (703) 779-1372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0024088367 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024088367 | Virginia |
Profile Details
| NPI number | 1336137587 |
|---|---|
| LBN Legal business name | Peck, Patricia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Dec 23rd, 2008 - about 18 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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