Pennington, Patrick Andrew

Pennington, Patrick Andrew is an individual health care provider with primary practice located at 2502 25Th St , Columbus IN 47201-3728. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Pennington, Patrick Andrew can be contacted via phone (812) 752-2018.

Contact Information

Primary practice address
2502 25Th St Columbus IN 47201-3728
Phone: (812) 752-2018
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000788 Indiana

Profile Details

NPI number 1730173626
LBN Legal business name Pennington, Patrick Andrew
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730173626 NPPES
Indiana MEDICAID 200253000

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