Pennington, Tracey O

Pennington, Tracey O is an individual health care provider with primary practice located at 5320 Providence Rd Suite 204, Virginia Beach VA 23464-4122. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Pennington, Tracey O can be contacted via phone (757) 962-2121.

Contact Information

Primary practice address
5320 Providence Rd Suite 204 Virginia Beach VA 23464-4122
Phone: (757) 962-2121
Fax: (757) 962-1911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0101231849 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101231849 Virginia

Profile Details

NPI number 1497791669
LBN Legal business name Pennington, Tracey O
Credentials M.D.,M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 3rd, 2016 - about 8 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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