Peacock-Bettendorf, Llc in Wilmington - Spinal Cord Injury Medicine
Peacock-Bettendorf, Llc - NPI 1134236078
Peacock-Bettendorf, Llc is a Spinal Cord Injury Medicine in Wilmington, North Carolina. Peacock-Bettendorf, Llc practices all healthcare services and medical treatments related to Spinal Cord Injury Medicine. The NPI Number for Peacock-Bettendorf, Llc is 1134236078. The last update date is 2020-08-22.
Peacock-Bettendorf, Llc's current location address is Po Box 15671, Wilmington, North Carolina. You can contact this provider via phone number 9102516755 and fax number 9104588619. The mailing address for Peacock-Bettendorf, Llc is Po Box 15671, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peacock-Bettendorf, Llc |
|---|---|
| Address | Po Box 15671, Wilmington, North Carolina |
| Phone Number | 9102516755 |
| Fax Number | 9104588619 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER/MAN |
|---|---|
| Authorized Official Name | Bettendorf Peacock Anna |
| Credentials | M.D. |
| Telephone Number | 9104588616 |
NPI Number Detail
| NPI Number | 1134236078 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 15671 |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284085671 |
| Phone Number | 9102516755 |
| Fax Number | 9104588619 |
Provider's Primary Taxonomy Detail
| Speciality | Spinal Cord Injury Medicine |
|---|---|
| Taxonomy | 2081P0004X |
| Licence No | 9400419 |
|
Definition: A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130AX | NC | BLUE CROSS/BLUE SHIELD | |
| 89130AX | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Peacock-Bettendorf, Llc by the Centers for Medicare & Medicaid Services?
The Peacock-Bettendorf, Llc has been assigned the NPI (National Provider Identifier) 1134236078 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Peacock-Bettendorf, Llc?
The Peacock-Bettendorf, Llc is physically situated at Po Box 15671, in the city of Wilmington, state of NC, with the postal code 284085671.
What is Peacock-Bettendorf, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Peacock-Bettendorf, Llc's area of specialization is Spinal Cord Injury Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2081P0004X.
When was the Peacock-Bettendorf, Llc's 1134236078 issued?
The Peacock-Bettendorf, Llc's 1134236078 was issued on 2006-08-24.
As of what date were the details related to Peacock-Bettendorf, Llc most recently updated or revised?
The information pertaining to Peacock-Bettendorf, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1962405159
Address: 1151 Main Street, Swanquarter, NC
NPI Number: 1598768632
Address: P.o. Box 4356, Dept 664, Houston, TX
NPI Number: 1609879436
Address: 1665 Dominican Way, Santa Cruz, CA
NPI Number: 1245234145
Address: 1905 Civic Center Dr, North Las Vegas, NV