Pennebacker, Paige Koenig
Pennebacker, Paige Koenig is an individual health care provider with primary practice located at 315 75Th St W , Bradenton FL 34209-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pennebacker, Paige Koenig can be contacted via phone (941) 761-0500.Contact Information
Primary practice address
315 75Th St W
Bradenton FL 34209-3201
Phone: (941) 761-0500
Fax: (855) 521-2857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME62365 | Florida |
Profile Details
| NPI number | 1891784724 |
|---|---|
| LBN Legal business name | Pennebacker, Paige Koenig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Oct 3rd, 2018 - about 7 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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