Pennycuff, Jon Fredrick

Pennycuff, Jon Fredrick is an sole proprietor health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Pennycuff, Jon Fredrick can be contacted via phone (608) 263-6240.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Phone: (608) 263-6240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 75417-20 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD046440 District of Columbia

Profile Details

NPI number 1568889756
LBN Legal business name Pennycuff, Jon Fredrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2014
Last updated Sep 22nd, 2021 - about 3 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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