Penwell, Brian David

Penwell, Brian David is an individual health care provider with primary practice located at 2 N Country Club Rd Suite 3, Decatur IL 62521-4161. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Penwell, Brian David can be contacted via phone (217) 423-1500.

Contact Information

Primary practice address
2 N Country Club Rd Suite 3 Decatur IL 62521-4161
Phone: (217) 423-1500
Fax: (217) 423-1504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1568436624
LBN Legal business name Penwell, Brian David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 30th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568436624 NPPES
Illinois Other 5806100 BLUECROSS BLUESHIELD

Popular Providers