Penney, Randy Scott
Penney, Randy Scott is an individual health care provider with primary practice located at 543 North Street Suite 201, New Benford MA 02740. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Penney, Randy Scott can be contacted via phone (508) 993-3450.Contact Information
Primary practice address
543 North Street Suite 201
New Benford MA 02740
Phone: (508) 993-3450
Fax: (508) 993-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
| NPI number | 1669545539 |
|---|---|
| LBN Legal business name | Penney, Randy Scott |
| Credentials | CPD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1669545539 | NPPES |
| Massachusetts | Other | 401154 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 1528866 | BLUE CROSS BLUE SHIELD |
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