Penner, Nicholas
Penner, Nicholas is an sole proprietor health care provider with primary practice located at 1005 Lujan Hill Rd , Las Cruces NM 88007-6304. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Penner, Nicholas can be contacted via phone (575) 523-4573.Contact Information
Primary practice address
1005 Lujan Hill Rd
Las Cruces NM 88007-6304
Phone: (575) 523-4573
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | New Mexico | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA1599 | New Mexico |
Profile Details
| NPI number | 1699480673 |
|---|---|
| LBN Legal business name | Penner, Nicholas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2023 |
| Last updated | Feb 2nd, 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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