Penkhus, Stephen D

Penkhus, Stephen D is an individual health care provider with primary practice located at 1230 E Main St , Mankato MN 56002-8674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Penkhus, Stephen D can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 22584 Minnesota

Profile Details

NPI number 1013996032
LBN Legal business name Penkhus, Stephen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Aug 11th, 2011 - about 13 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 1013996032 NPPES
Other 160025570 RR MEDICARE
MEDICAID 688705800 RR MEDICARE
Other HP25860 RR MEDICARE
Other 115550 RR MEDICARE
Other 771902 RR MEDICARE
Other 41084933956001C059 RR MEDICARE
Other 0702739 RR MEDICARE
Other 41497PE RR MEDICARE
MEDICAID 928614 RR MEDICARE
Other NA2951023851 RR MEDICARE

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