Pennington, Andrea J
Pennington, Andrea J is an individual health care provider with primary practice located at 25720 Southfield Rd Apt 104 , Southfield MI 48075-1842. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Pennington, Andrea J can be contacted via phone (313) 300-3738.Contact Information
Primary practice address
25720 Southfield Rd Apt 104
Southfield MI 48075-1842
Phone: (313) 300-3738
Fax: (313) 449-5862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301407512 | Michigan |
Profile Details
| NPI number | 1720296411 |
|---|---|
| LBN Legal business name | Pennington, Andrea J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Aug 31st, 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.
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