Pennoyer, William P

Pennoyer, William P is an individual health care provider with primary practice located at 6 Northwestern Dr Suite # 305, Bloomfield CT 06002-3463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Pennoyer, William P can be contacted via phone (860) 242-8591.

Contact Information

Primary practice address
6 Northwestern Dr Suite # 305 Bloomfield CT 06002-3463
Phone: (860) 242-8591
Fax: (860) 242-2511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 038713 Connecticut

Profile Details

NPI number 1932161809
LBN Legal business name Pennoyer, William P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Sep 10th, 2013 - about 11 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 1932161809 NPPES
Connecticut MEDICAID 001387134

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