Peskoe, Stephen M
Peskoe, Stephen M is an individual health care provider with primary practice located at 8075 N Shadeland Ave Suite 200, Indianapolis IN 46250-2693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Peskoe, Stephen M can be contacted via phone (317) 621-8500.Contact Information
Primary practice address
8075 N Shadeland Ave Suite 200
Indianapolis IN 46250-2693
Phone: (317) 621-8500
Fax: (317) 621-8501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01025113A | Indiana |
Profile Details
| NPI number | 1750380002 |
|---|---|
| LBN Legal business name | Peskoe, Stephen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Sep 17th, 2009 - about 17 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 | 1750380002 | NPPES |
| Indiana | MEDICAID | 100260610A | |
| Indiana | Other | 4004378 |
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