Greta Peck in Traverse City - Physician Assistant
Greta Peck - NPI 1316018526
Greta Peck is a Physician Assistant in Traverse City, Michigan. Greta Peck practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Greta Peck is 1316018526. The last update date is 2011-12-06.
Greta Peck's current location address is 1105 Sixth St, Traverse City, Michigan. You can contact this provider via phone number 2319356520 and fax number 2319359116. The mailing address for Greta Peck is 1105 Sixth St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greta Peck |
|---|---|
| Address | 1105 Sixth St, Traverse City, Michigan |
| Phone Number | 2319356520 |
| Fax Number | 2319359116 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316018526 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2011-12-06 |
Provider Mailing Address Detail
| Address | 1105 Sixth St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496842345 |
| Phone Number | 2319356520 |
| Fax Number | 2319359116 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003557 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP003557 | MI | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Greta Peck by the Centers for Medicare & Medicaid Services?
The Greta Peck has been issued the NPI (National Provider Identifier) 1316018526 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Greta Peck is physically located?
The Greta Peck is physically situated at the following address: 1105 Sixth St, Traverse City, MI, 496842345.
What is Greta Peck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Greta Peck is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did Greta Peck receive its 1316018526 assignment?
The Greta Peck was assigned its 1316018526 on 2006-11-10, which is the date when this unique identifier was issued to the organization.
When was the information related to Greta Peck most recently updated or refreshed?
The details pertaining to the Greta Peck, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-06.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY