Peck, Shannon
Peck, Shannon is an sole proprietor health care provider with primary practice located at 1159 E 200 N #250, American Fork UT 84003-2022. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peck, Shannon can be contacted via phone (801) 855-2980.Contact Information
Primary practice address
1159 E 200 N #250
American Fork UT 84003-2022
Phone: (801) 855-2980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7890710-1206 | Utah |
Profile Details
| NPI number | 1346531928 |
|---|---|
| LBN Legal business name | Peck, Shannon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2011 |
| Last updated | Apr 29th, 2011 - about 15 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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