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
Phone: (937) 399-9500
Fax: (937) 342-4242
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336130236 | NPPES |
Ohio | Other | 0007167153 | AETNA |
Ohio | Other | 000000004467 | AETNA |
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