Penland, Richard W.

Penland, Richard W. is an individual health care provider with primary practice located at 1501 S Potomac St , Aurora CO 80012-5411. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Penland, Richard W. can be contacted via phone (303) 695-2628.

Contact Information

Primary practice address
1501 S Potomac St Aurora CO 80012-5411
Phone: (303) 695-2628
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15310 Hawaii
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X DR.0036239 Colorado

Profile Details

NPI number 1003893843
LBN Legal business name Penland, Richard W.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 27th, 2016 - about 8 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 1003893843 NPPES
Colorado MEDICAID 01362391

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