Penza, Sam L.

Penza, Sam L. is an individual health care provider with primary practice located at 460 W 10Th Ave Fl 5 , Columbus OH 43210-1240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Penza, Sam L. can be contacted via phone (614) 293-3316.

Contact Information

Primary practice address
460 W 10Th Ave Fl 5 Columbus OH 43210-1240
Phone: (614) 293-3316
Fax: (614) 293-6050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35061774 Ohio
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 35061774 Ohio

Profile Details

NPI number 1356359640
LBN Legal business name Penza, Sam L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Dec 28th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356359640 NPPES
Ohio MEDICAID 0138854

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