Peck, Roger G
Peck, Roger G is an individual health care provider with primary practice located at 1325 Research Park Dr , Manhattan KS 66502-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peck, Roger G can be contacted via phone (785) 537-2651.Contact Information
Primary practice address
1325 Research Park Dr
Manhattan KS 66502-5000
Phone: (785) 537-2651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0420773 | Kansas |
Profile Details
| NPI number | 1972570331 |
|---|---|
| LBN Legal business name | Peck, Roger G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Apr 2nd, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972570331 | NPPES |
| Kansas | MEDICAID | 100175640D | |
| Kansas | Other | 068002164 |
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