Pennza, Paul

Pennza, Paul is an individual health care provider with primary practice located at 822 Kumho Dr Suite 202, Fairlawn OH 44333-9297. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pennza, Paul can be contacted via phone (330) 576-0500.

Contact Information

Primary practice address
822 Kumho Dr Suite 202 Fairlawn OH 44333-9297
Phone: (330) 576-0500
Fax: (330) 576-0467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35042484P Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35042484 Ohio

Profile Details

NPI number 1518993575
LBN Legal business name Pennza, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 7th, 2009 - about 15 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 1518993575 NPPES
Ohio Other 000000141923 ANTHEM
Ohio MEDICAID 0423616 ANTHEM
Ohio Other 0007548749 ANTHEM

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