Penny, Heath
Penny, Heath is an individual health care provider with primary practice located at 300 E 23Rd St , Fremont NE 68025-2302. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Penny, Heath can be contacted via phone (402) 727-7990.Contact Information
Primary practice address
300 E 23Rd St
Fremont NE 68025-2302
Phone: (402) 727-7990
Fax: (402) 727-1761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 100904 | Nebraska |
Profile Details
| NPI number | 1295804714 |
|---|---|
| LBN Legal business name | Penny, Heath |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Mar 5th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295804714 | NPPES |
| Nebraska | MEDICAID | 911765978-15 |
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