Penn, Mark A.

Penn, Mark A. is an individual health care provider with primary practice located at 55 Arch St Ste 3A , Akron OH 44304-1447. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Penn, Mark A. can be contacted via phone (330) 375-3584.

Contact Information

Primary practice address
55 Arch St Ste 3A Akron OH 44304-1447
Phone: (330) 375-3584
Fax: (330) 375-6306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 35042202 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15507 Nevada

Profile Details

NPI number 1154488419
LBN Legal business name Penn, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Aug 15th, 2016 - about 9 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 1154488419 NPPES
Ohio MEDICAID 0396361

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