Pennington, Timothy Mark
Pennington, Timothy Mark is an individual health care provider with primary practice located at 4222 Grand Ave , Middletown OH 45044-6129. 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, Timothy Mark can be contacted via phone (513) 420-4678.Contact Information
Primary practice address
4222 Grand Ave
Middletown OH 45044-6129
Phone: (513) 420-4678
Fax: (513) 420-4678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 020820 | Ohio |
Profile Details
| NPI number | 1952838310 |
|---|---|
| LBN Legal business name | Pennington, Timothy Mark |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2017 |
| Last updated | May 16th, 2017 - about 7 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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