Pennock, Gregory D
Pennock, Gregory D is an individual health care provider with primary practice located at 423 N Third Ave Ste 335 , Sandpoint ID 83864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pennock, Gregory D can be contacted via phone (208) 265-7070.Contact Information
Primary practice address
423 N Third Ave Ste 335
Sandpoint ID 83864
Phone: (208) 265-7070
Fax: (208) 265-7071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M12621 | Idaho |
Profile Details
| NPI number | 1700889607 |
|---|---|
| LBN Legal business name | Pennock, Gregory D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jun 8th, 2018 - about 6 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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