Pennock, Paul C

Pennock, Paul C is an individual health care provider with primary practice located at 701 N Clayton St Suite 407, Wilmington DE 19805-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pennock, Paul C can be contacted via phone (302) 421-9721.

Contact Information

Primary practice address
701 N Clayton St Suite 407 Wilmington DE 19805-3165
Phone: (302) 421-9721
Fax: (302) 421-9728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C10000416 Delaware

Profile Details

NPI number 1730155748
LBN Legal business name Pennock, Paul C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1730155748 NPPES
Delaware MEDICAID 000013050501

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