Fricke, Penny S.
Fricke, Penny S. is an individual health care provider with primary practice located at 2532 Farragut Dr , Springfield IL 62704-1433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as her primary health care specialty. Fricke, Penny S. can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
2532 Farragut Dr
Springfield IL 62704-1433
Phone: (217) 528-7541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | 209003043 | Illinois |
Profile Details
| NPI number | 1376529917 |
|---|---|
| LBN Legal business name | Fricke, Penny S. |
| Credentials | R.N.,M.S.N.,CFNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | May 22nd, 2020 - about 6 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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