Peckham, Samuel Eli

Peckham, Samuel Eli is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2323. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Peckham, Samuel Eli can be contacted via phone (860) 892-7042.

Contact Information

Primary practice address
47 Town St Norwich CT 06360-2323
Phone: (860) 892-7042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 239 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6659 Connecticut

Profile Details

NPI number 1447301163
LBN Legal business name Peckham, Samuel Eli
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Sep 16th, 2016 - about 10 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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