Penniman, Wright C

Penniman, Wright C is an individual health care provider with primary practice located at 3601 Sw 160Th Ave Suite250, Miramar FL 33027-6308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Penniman, Wright C can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite250 Miramar FL 33027-6308
Phone: (877) 866-7123
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00663 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS 12653 Florida

Profile Details

NPI number 1366441552
LBN Legal business name Penniman, Wright C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 19th, 2014 - about 11 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 1366441552 NPPES
South Carolina MEDICAID 006638

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