Penman, Thomas
Penman, Thomas is an sole proprietor health care provider with primary practice located at 4820 N 1St St Ste 104 , Fresno CA 93726-0522. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Penman, Thomas can be contacted via phone (559) 226-5860.Contact Information
Primary practice address
4820 N 1St St Ste 104
Fresno CA 93726-0522
Phone: (559) 226-5860
Fax: (559) 224-3969
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000E21961 | California |
Profile Details
NPI number | 1447271382 |
---|---|
LBN Legal business name | Penman, Thomas |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 23rd, 2006 |
Last updated | Apr 15th, 2020 - about 4 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 | 1447271382 | NPPES |
California | MEDICAID | 000E21961 | |
California | MEDICAID | 000E21960 |
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