Wilkie, Penny Marie

Wilkie, Penny Marie is an individual health care provider with primary practice located at 10 N River Road , Fort Yates ND 58538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilkie, Penny Marie can be contacted via phone (701) 854-3831.

Contact Information

Primary practice address
10 N River Road Fort Yates ND 58538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7405 North Dakota

Profile Details

NPI number 1861557977
LBN Legal business name Wilkie, Penny Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated May 6th, 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 1861557977 NPPES
North Dakota MEDICAID HSZU64ZJSB

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