Penman, Thomas

Penman, Thomas is an sole proprietor health care provider with primary practice located at 4820 N 1St St Ste 104 , Fresno CA 93726-0522. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Penman, Thomas can be contacted via phone (559) 226-5860.

Contact Information

Primary practice address
4820 N 1St St Ste 104 Fresno CA 93726-0522
Phone: (559) 226-5860
Fax: (559) 224-3969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000E21961 California

Profile Details

NPI number 1447271382
LBN Legal business name Penman, Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2006
Last updated Apr 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447271382 NPPES
California MEDICAID 000E21961
California MEDICAID 000E21960

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