Penner, Gregory L.
Penner, Gregory L. is an sole proprietor health care provider with primary practice located at 331 Maine St Ste 4 , Brunswick ME 04011-3359. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Penner, Gregory L. can be contacted via phone (207) 721-0911.Contact Information
Primary practice address
331 Maine St Ste 4
Brunswick ME 04011-3359
Phone: (207) 721-0911
Fax: (207) 721-9729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12949 | Maine |
Profile Details
| NPI number | 1275610198 |
|---|---|
| LBN Legal business name | Penner, Gregory L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 22nd, 2015 - 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 | 1275610198 | NPPES |
| Maine | Other | 017636 | BS |
| Maine | Other | 1027557 | BS |
| Maine | MEDICAID | 122050000 | BS |
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