Pennington, Bruce L.
Pennington, Bruce L. is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pennington, Bruce L. can be contacted via phone (740) 446-5289.Contact Information
Primary practice address
100 Jackson Pike
Gallipolis OH 45631-1560
Phone: (740) 446-5289
Fax: (740) 446-5697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 16694 | West Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35-06-0247 | Ohio |
Profile Details
| NPI number | 1396785424 |
|---|---|
| LBN Legal business name | Pennington, Bruce L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 9th, 2020 - about 4 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 | 1396785424 | NPPES |
| West Virginia | MEDICAID | 0118365000 | |
| West Virginia | Other | 000000007285 | |
| West Virginia | Other | 000000193002 | |
| West Virginia | Other | 001714061 | |
| West Virginia | Other | 0798650 | |
| West Virginia | Other | 300028175 |
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