Penney, Brett A

Penney, Brett A is an individual health care provider with primary practice located at 980 W. Ironwood Suite 101, Coeur D'Alene ID 83814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Penney, Brett A can be contacted via phone (208) 765-1455.

Contact Information

Primary practice address
980 W. Ironwood Suite 101 Coeur D'Alene ID 83814
Phone: (208) 765-1455
Fax: (208) 667-8655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M-8797 Idaho
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M8797 Idaho

Profile Details

NPI number 1164459798
LBN Legal business name Penney, Brett A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 15th, 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 1164459798 NPPES
Idaho MEDICAID 806682500

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