Penninck, Anais

Penninck, Anais is an sole proprietor health care provider with primary practice located at 123 Union St Suite 204 , Easthampton MA 01027. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Penninck, Anais can be contacted via phone (508) 335-7916.

Contact Information

Primary practice address
123 Union St Suite 204 Easthampton MA 01027
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1578813614
LBN Legal business name Penninck, Anais
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2012
Last updated Oct 2nd, 2025 - about last year

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 1578813614 NPPES
Massachusetts MEDICAID 1300881

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