Pennacchia, Matthew Vance
Pennacchia, Matthew Vance is an sole proprietor health care provider with primary practice located at 521 Boston Post Rd , Orange CT 06477-3506. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pennacchia, Matthew Vance can be contacted via phone (203) 529-3271.Contact Information
Primary practice address
521 Boston Post Rd
Orange CT 06477-3506
Phone: (203) 529-3271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5310 | Connecticut |
Profile Details
| NPI number | 1982287538 |
|---|---|
| LBN Legal business name | Pennacchia, Matthew Vance |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2021 |
| Last updated | Oct 11th, 2021 - about 5 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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