Pennetta, Darcy Rae
Pennetta, Darcy Rae is an individual health care provider with primary practice located at 1016 Euclid Ave , Charlotte NC 28203-4520. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Pennetta, Darcy Rae can be contacted via phone (704) 807-5699.Contact Information
Primary practice address
1016 Euclid Ave
Charlotte NC 28203-4520
Phone: (704) 807-5699
Fax: (704) 631-4574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1770024747 |
|---|---|
| LBN Legal business name | Pennetta, Darcy Rae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2017 |
| Last updated | Mar 10th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770024747 | NPPES |
| North Carolina | Other | 39296473 | DRIVER'S LICENSE |
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