Pennacchia, Matthew Vance

Pennacchia, Matthew Vance is an sole proprietor health care provider with primary practice located at 521 Boston Post Rd , Orange CT 06477-3506. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pennacchia, Matthew Vance can be contacted via phone (203) 529-3271.

Contact Information

Primary practice address
521 Boston Post Rd Orange CT 06477-3506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5310 Connecticut

Profile Details

NPI number 1982287538
LBN Legal business name Pennacchia, Matthew Vance
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2021
Last updated Oct 11th, 2021 - about 3 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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