Pennington, Joann M
Pennington, Joann M is an individual health care provider with primary practice located at 3111 W Rawson Ave Suite 200, Franklin WI 53132-9417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pennington, Joann M can be contacted via phone (414) 384-6700.Contact Information
Primary practice address
3111 W Rawson Ave Suite 200
Franklin WI 53132-9417
Phone: (414) 384-6700
Fax: (414) 761-1921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2421023 | Wisconsin |
Profile Details
| NPI number | 1225266919 |
|---|---|
| LBN Legal business name | Pennington, Joann M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Mar 4th, 2020 - about 5 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 | 1225266919 | NPPES |
| Wisconsin | MEDICAID | 1225266919 |
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