Penco, Filomena
Penco, Filomena is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Penco, Filomena can be contacted via phone (401) 274-2500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01034 | Rhode Island |
Profile Details
| NPI number | 1528014438 |
|---|---|
| LBN Legal business name | Penco, Filomena |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Mar 31st, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528014438 | NPPES |
| Rhode Island | MEDICAID | FP17650 | |
| Rhode Island | Other | 62-37400 | |
| Rhode Island | Other | 406690 | |
| Rhode Island | Other | 1104847946 | |
| Rhode Island | Other | 30709-9 |
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