Pennington, Teresa

Pennington, Teresa is an individual health care provider with primary practice located at 24 N Main St , Petersburg WV 26847-1518. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Pennington, Teresa can be contacted via phone (304) 257-1044.

Contact Information

Primary practice address
24 N Main St Petersburg WV 26847-1518
Phone: (304) 257-1044
Fax: (304) 257-2681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 30513 West Virginia
Nursing Service Providers / Registered Nurse 163W00000X 1054915 Kentucky

Profile Details

NPI number 1215935309
LBN Legal business name Pennington, Teresa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 17 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 1215935309 NPPES
Kentucky Other 1054915 NURSING LICENSE
Kentucky Other RN30513 NURSING LICENSE

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