Penn, David
Penn, David is an individual health care provider with primary practice located at 4300 B St Ste 200 , Anchorage AK 99503-5933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Penn, David can be contacted via phone (907) 375-3355.Contact Information
Primary practice address
4300 B St Ste 200
Anchorage AK 99503-5933
Phone: (907) 375-3355
Fax: (907) 375-3351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 123247 | Alaska |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 123247 | Alaska |
Profile Details
| NPI number | 1477968485 |
|---|---|
| LBN Legal business name | Penn, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2014 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477968485 | NPPES |
| Alaska | MEDICAID | 1613485 |
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