Peck, Robert Wayne

Peck, Robert Wayne is an individual health care provider with primary practice located at 1315 E Division St , Mount Vernon WA 98274-4134. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Peck, Robert Wayne can be contacted via phone (360) 734-5410.

Contact Information

Primary practice address
1315 E Division St Mount Vernon WA 98274-4134
Phone: (360) 734-5410
Fax: (360) 816-1652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP00046874 Washington

Profile Details

NPI number 1740055805
LBN Legal business name Peck, Robert Wayne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2023
Last updated Nov 20th, 2023 - about 2 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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