Penke, Nicole

Penke, Nicole is an individual health care provider with primary practice located at 8140 Ashton Ave Ste 120 , Manassas VA 20109-5699. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Penke, Nicole can be contacted via phone (703) 361-3128.

Contact Information

Primary practice address
8140 Ashton Ave Ste 120 Manassas VA 20109-5699
Phone: (703) 361-3128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57013584 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101249998 Virginia

Profile Details

NPI number 1356530331
LBN Legal business name Penke, Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Jul 21st, 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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