Penrod, Warren Larry
Penrod, Warren Larry is an individual health care provider with primary practice located at 333 W. Western Ave , South Bend IN 46601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Penrod, Warren Larry can be contacted via phone (574) 299-4847.Contact Information
Primary practice address
333 W. Western Ave
South Bend IN 46601
Phone: (574) 299-4847
Fax: (574) 299-9073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28135343A | Indiana |
Profile Details
| NPI number | 1851590269 |
|---|---|
| LBN Legal business name | Penrod, Warren Larry |
| Credentials | FNP, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Jun 3rd, 2013 - about 12 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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