Pennington, Donna S

Pennington, Donna S is an individual health care provider with primary practice located at 1535 Gull Rd # 150, Kalamazoo MI 49048-1650. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Pennington, Donna S can be contacted via phone (269) 488-2191.

Contact Information

Primary practice address
1535 Gull Rd # 150 Kalamazoo MI 49048-1650
Phone: (269) 488-2191
Fax: (269) 488-2191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704135201 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704135201 Michigan

Profile Details

NPI number 1376589143
LBN Legal business name Pennington, Donna S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 16th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376589143 NPPES
Michigan Other 5008704510 BCBS PIN

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