Pennington, Heather

Pennington, Heather is an sole proprietor health care provider with primary practice located at 2600 Saint Michael Dr , Texarkana TX 75503-2372. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Pennington, Heather can be contacted via phone (903) 614-2989.

Contact Information

Primary practice address
2600 Saint Michael Dr Texarkana TX 75503-2372
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 597591 Texas

Profile Details

NPI number 1003990862
LBN Legal business name Pennington, Heather
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Sep 3rd, 2015 - about 9 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 1003990862 NPPES
Texas Other 0090KE BCBS

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