Penwell, Mary Ellen
Penwell, Mary Ellen is an sole proprietor health care provider with primary practice located at 1000 S Mercer St 4Th Floor, New Castle PA 16101-4672. She recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as her primary health care specialty. Penwell, Mary Ellen can be contacted via phone (724) 658-4688.Contact Information
Primary practice address
1000 S Mercer St 4Th Floor
New Castle PA 16101-4672
Phone: (724) 658-4688
Fax: (724) 658-8810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | RN187504L | Pennsylvania |
Profile Details
| NPI number | 1174649669 |
|---|---|
| LBN Legal business name | Penwell, Mary Ellen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1174649669 | NPPES |
| Pennsylvania | MEDICAID | 1016014290001 |
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