Pennycooke, Owano M

Pennycooke, Owano M is an sole proprietor health care provider with primary practice located at 241 Monmouth Rd , West Long Branch NJ 07764-1177. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Pennycooke, Owano M can be contacted via phone (732) 403-2075.

Contact Information

Primary practice address
241 Monmouth Rd West Long Branch NJ 07764-1177
Phone: (732) 403-2075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA08547000 New Jersey
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA08547000 New Jersey

Profile Details

NPI number 1013150267
LBN Legal business name Pennycooke, Owano M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2009
Last updated Aug 31st, 2012 - about 12 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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