Pennington, Steven E
Pennington, Steven E is an sole proprietor health care provider with primary practice located at 2500 W A St Suite 201, Moscow ID 83843-5065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pennington, Steven E can be contacted via phone (208) 883-2828.Contact Information
Primary practice address
2500 W A St Suite 201
Moscow ID 83843-5065
Phone: (208) 883-2828
Fax: (208) 882-2179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M7323 | Idaho |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34937 | Washington |
Profile Details
| NPI number | 1740290642 |
|---|---|
| LBN Legal business name | Pennington, Steven E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 4th, 2015 - about 10 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 | 1740290642 | NPPES |
| Washington | MEDICAID | 1101567 | |
| Washington | MEDICAID | 804163900 | |
| Washington | Other | 115398 |
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