Courtney Peck in Providence - Physician Assistant
Courtney Peck - NPI 1386688877
Courtney Peck is a Physician Assistant in Providence, Rhode Island. Courtney Peck practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Courtney Peck is 1386688877. The last update date is 2012-08-03.
Courtney Peck's current location address is Po Box 1119, Providence, Rhode Island. You can contact this provider via phone number 4018496868 and fax number 4018473840. The mailing address for Courtney Peck is Po Box 1119, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Peck |
|---|---|
| Address | Po Box 1119, Providence, Rhode Island |
| Phone Number | 4018496868 |
| Fax Number | 4018473840 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1386688877 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2012-08-03 |
Provider Mailing Address Detail
| Address | Po Box 1119 |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29011119 |
| Phone Number | 4018496868 |
| Fax Number | 4018473840 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 239 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1780672709 | GROUP NPI# |
Post Comment/ Review Below
What is the unique provider identifier assigned to Courtney Peck?
The Courtney Peck has been issued the NPI (National Provider Identifier) 1386688877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Courtney Peck is physically located?
The Courtney Peck is situated at the following address: Po Box 1119, Providence, RI 29011119.
What is the Courtney Peck's area of specialization and corresponding taxonomy classification?
The Courtney Peck's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Courtney Peck receive its 1386688877 assignment from the Centers for Medicare & Medicaid Services?
The Courtney Peck was assigned its 1386688877 by the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date were the details related to Courtney Peck most recently updated or revised?
The information pertaining to Courtney Peck, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-03.