Penke, Nicole
Penke, Nicole is an individual health care provider with primary practice located at 8140 Ashton Ave Ste 120 , Manassas VA 20109-5699. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Penke, Nicole can be contacted via phone (703) 361-3128.Contact Information
Primary practice address
8140 Ashton Ave Ste 120
Manassas VA 20109-5699
Phone: (703) 361-3128
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57013584 | Ohio |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101249998 | Virginia |
Profile Details
NPI number | 1356530331 |
---|---|
LBN Legal business name | Penke, Nicole |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2007 |
Last updated | Jul 21st, 2011 - about 14 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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