Peck, Robert F.

Peck, Robert F. is an sole proprietor health care provider with primary practice located at 1255 Oaklawn Ave , Cranston RI 02920-2649. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peck, Robert F. can be contacted via phone (401) 228-7914.

Contact Information

Primary practice address
1255 Oaklawn Ave Cranston RI 02920-2649
Phone: (401) 228-7914
Fax: (401) 228-7916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW00588 Rhode Island

Profile Details

NPI number 1417932633
LBN Legal business name Peck, Robert F.
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Mar 30th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417932633 NPPES
Rhode Island Other 62-41317 UNITED HEALTHCARE
Rhode Island Other 20786-3 UNITED HEALTHCARE
Rhode Island MEDICAID 9020786 UNITED HEALTHCARE

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