Penske, Cody Alan

Penske, Cody Alan is an sole proprietor health care provider with primary practice located at 729 Harefoote St , Holland OH 43528-8566. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Penske, Cody Alan can be contacted via phone (419) 410-5320.

Contact Information

Primary practice address
729 Harefoote St Holland OH 43528-8566
Phone: (419) 410-5320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 138468 Ohio

Profile Details

NPI number 1992086912
LBN Legal business name Penske, Cody Alan
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2011
Last updated Sep 3rd, 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.

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