Penetar, Martin C

Penetar, Martin C is an individual health care provider with primary practice located at 231 Northern Blvd Suite 3, South Abington Township PA 18411-9189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Penetar, Martin C can be contacted via phone (570) 587-4113.

Contact Information

Primary practice address
231 Northern Blvd Suite 3 South Abington Township PA 18411-9189
Phone: (570) 587-4113
Fax: (570) 587-7703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS006903L Pennsylvania

Profile Details

NPI number 1366422230
LBN Legal business name Penetar, Martin C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 22nd, 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 1366422230 NPPES
Pennsylvania MEDICAID 001422917

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