Penovich, Patricia E
Penovich, Patricia E is an individual health care provider with primary practice located at 225 Smith Ave N Suite 201, Saint Paul MN 55102-2697. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Penovich, Patricia E can be contacted via phone (651) 241-5290.Contact Information
Primary practice address
225 Smith Ave N Suite 201
Saint Paul MN 55102-2697
Phone: (651) 241-5290
Fax: (651) 241-5248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35488 | Minnesota |
Profile Details
| NPI number | 1548287436 |
|---|---|
| LBN Legal business name | Penovich, Patricia E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Apr 11th, 2011 - about 13 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 | 1548287436 | NPPES |
| Minnesota | MEDICAID | 893702800 |
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