Pennington, Elliot Carr

Pennington, Elliot Carr is an individual health care provider with primary practice located at 330 Barclay Ave Ne Ste 202 , Grand Rapids MI 49503-2525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Pennington, Elliot Carr can be contacted via phone (616) 443-8007.

Contact Information

Primary practice address
330 Barclay Ave Ne Ste 202 Grand Rapids MI 49503-2525
Phone: (616) 443-8007
Fax: (616) 458-0061
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X U2104 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 1235365081 Michigan

Profile Details

NPI number 1235365081
LBN Legal business name Pennington, Elliot Carr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Mar 14th, 2023 - about 2 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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