Pennycooke, Shelley Ann Nicole
Pennycooke, Shelley Ann Nicole is an sole proprietor health care provider with primary practice located at 18 E Laurel Rd , Stratford NJ 08084-1327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Pennycooke, Shelley Ann Nicole can be contacted via phone (856) 346-7985.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | PRACTICING | New Jersey |
Profile Details
| NPI number | 1821297938 |
|---|---|
| LBN Legal business name | Pennycooke, Shelley Ann Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Dec 14th, 2009 - about 16 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 | 1821297938 | NPPES |
| New Jersey | Other | P00766006 | RR MEDICARE |
| New Jersey | MEDICAID | 0181943 | RR MEDICARE |
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