Pennington, Michael A

Pennington, Michael A is an individual health care provider with primary practice located at 6801 Airport Blvd , Mobile AL 36608-3709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pennington, Michael A can be contacted via phone (251) 460-0326.

Contact Information

Primary practice address
6801 Airport Blvd Mobile AL 36608-3709
Fax: (251) 460-2846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20733 Alabama

Profile Details

NPI number 1558364158
LBN Legal business name Pennington, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 6th, 2018 - about 6 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 1558364158 NPPES
Alabama MEDICAID PE000030077
Alabama Other 051030077PEN

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