Pennington, Brenda

Pennington, Brenda is an sole proprietor health care provider with primary practice located at 474 N Yellow Springs St , Springfield OH 45504-2463. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pennington, Brenda can be contacted via phone (937) 399-9500.

Contact Information

Primary practice address
474 N Yellow Springs St Springfield OH 45504-2463
Fax: (937) 342-4242
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0002566 Ohio

Profile Details

NPI number 1336130236
LBN Legal business name Pennington, Brenda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Dec 15th, 2016 - about 8 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 1336130236 NPPES
Ohio Other 0007167153 AETNA
Ohio Other 000000004467 AETNA

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