Penkalski, James Thomas

Penkalski, James Thomas is an individual health care provider with primary practice located at 901 S National Ave Forsythe Athletic Center, Rm 109, Springfield MO 65804-0027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Penkalski, James Thomas can be contacted via phone (417) 836-5461.

Contact Information

Primary practice address
901 S National Ave Forsythe Athletic Center, Rm 109 Springfield MO 65804-0027
Phone: (417) 836-5461
Fax: (417) 836-6101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 00159 Missouri

Profile Details

NPI number 1073505921
LBN Legal business name Penkalski, James Thomas
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Mar 23rd, 2010 - about 15 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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