Pennell, Todd

Pennell, Todd is an individual health care provider with primary practice located at 810 Fairgrove Church Rd , Hickory NC 28602-9617. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Pennell, Todd can be contacted via phone (828) 326-3850.

Contact Information

Primary practice address
810 Fairgrove Church Rd Hickory NC 28602-9617
Phone: (828) 326-3850
Fax: (828) 326-2466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201603 North Carolina

Profile Details

NPI number 1790738995
LBN Legal business name Pennell, Todd
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 29th, 2023 - about 2 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 1790738995 NPPES
North Carolina MEDICAID 7000439

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