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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1154488419 | NPPES |
| Ohio | MEDICAID | 0396361 |
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