Penny, Heather

Penny, Heather is an individual health care provider with primary practice located at 900 W Baltimore Pike Suite4 200, West Grove PA 19390-9313. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Penny, Heather can be contacted via phone (610) 869-4627.

Contact Information

Primary practice address
900 W Baltimore Pike Suite4 200 West Grove PA 19390-9313
Phone: (610) 869-4627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C5-0000360 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0002644 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA003295L Pennsylvania

Profile Details

NPI number 1427069392
LBN Legal business name Penny, Heather
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 5th, 2016 - about 9 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 1427069392 NPPES
Pennsylvania MEDICAID 1031928280001

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