Pennington, Michael A
Pennington, Michael A is an individual health care provider with primary practice located at 701 M St Ne Suite 102, Auburn WA 98002-4591. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pennington, Michael A can be contacted via phone (253) 833-8766.Contact Information
Primary practice address
701 M St Ne Suite 102
Auburn WA 98002-4591
Phone: (253) 833-8766
Fax: (252) 833-6748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00008861 | Washington |
Profile Details
| NPI number | 1730172602 |
|---|---|
| LBN Legal business name | Pennington, Michael A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Dec 9th, 2014 - about 11 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 | 1730172602 | NPPES |
| Washington | MEDICAID | 8334153 | |
| Washington | Other | 161592 | |
| Washington | Other | 5453PE | |
| Washington | Other | 650024235 | |
| Washington | Other | 8937391 |
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