Penrod, Marc A
Penrod, Marc A is an individual health care provider with primary practice located at 5 E 400 N , Springville UT 84663-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Penrod, Marc A can be contacted via phone (801) 489-8464.Contact Information
Primary practice address
5 E 400 N
Springville UT 84663-1347
Phone: (801) 489-8464
Fax: (801) 798-8513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4775420-1205 | Utah |
Profile Details
| NPI number | 1831137140 |
|---|---|
| LBN Legal business name | Penrod, Marc A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 10th, 2023 - about last year |
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 | 1831137140 | NPPES |
| Utah | MEDICAID | D3633 |
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