Mcdonnell-Penrose, Nancy Theresa

Mcdonnell-Penrose, Nancy Theresa is an individual health care provider with primary practice located at 180 W 1St St #101 , Ketchum ID 83340. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mcdonnell-Penrose, Nancy Theresa can be contacted via phone (208) 725-5185.

Contact Information

Primary practice address
180 W 1St St #101 Ketchum ID 83340
Phone: (208) 725-5185
Fax: (208) 725-5192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT222 Idaho

Profile Details

NPI number 1528046208
LBN Legal business name Mcdonnell-Penrose, Nancy Theresa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528046208 NPPES
Idaho Other TS832 BLUE CROSS

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