Pennington, Amanda

Pennington, Amanda is an individual health care provider with primary practice located at 812 Gorman Ave , Elkins WV 26241-3181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pennington, Amanda can be contacted via phone (304) 637-3894.

Contact Information

Primary practice address
812 Gorman Ave Elkins WV 26241-3181
Phone: (304) 637-3894
Fax: (304) 637-0435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24442 West Virginia

Profile Details

NPI number 1649433202
LBN Legal business name Pennington, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Nov 3rd, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649433202 NPPES
West Virginia MEDICAID 3810020336

Popular Providers