Provider Demographics
NPI:1336182047
Name:PECK, MARGARET JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:JEAN
Last Name:PECK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:SKYE
Other - Last Name:PECK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:243 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-5930
Mailing Address - Country:US
Mailing Address - Phone:252-430-7667
Mailing Address - Fax:
Practice Address - Street 1:243 RIDGE RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-5930
Practice Address - Country:US
Practice Address - Phone:252-430-7667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3423 - 012111N00000X
NC3362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIU69153Medicare UPIN