Penner, Matthew

Penner, Matthew is an sole proprietor health care provider with primary practice located at 101 E 1St Ave , Hutchinson KS 67501-7147. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Penner, Matthew can be contacted via phone (620) 200-4800.

Contact Information

Primary practice address
101 E 1St Ave Hutchinson KS 67501-7147
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4227 Kansas

Profile Details

NPI number 1740413962
LBN Legal business name Penner, Matthew
Credentials LSCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2009
Last updated Oct 7th, 2014 - about 12 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 1740413962 NPPES
Kansas MEDICAID 1000981201

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