Medicinebear, Penny Ann

Medicinebear, Penny Ann is an sole proprietor health care provider with primary practice located at 224 Sunset Ave , Smiths Grove KY 41217. She recently has only one registered license in Transportation Services / Taxi, which is considered as her primary health care specialty. Medicinebear, Penny Ann can be contacted via phone (270) 784-7079.

Contact Information

Primary practice address
224 Sunset Ave Smiths Grove KY 41217
Phone: (270) 784-7079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Taxi 344600000X 3585 Kentucky
Transportation Services / Taxi 344600000X 3586 Kentucky

Profile Details

NPI number 1215234778
LBN Legal business name Medicinebear, Penny Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2011
Last updated Feb 18th, 2011 - about 15 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 1215234778 NPPES
Kentucky MEDICAID 3162

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