Pennings, John L

Pennings, John L is an individual health care provider with primary practice located at 750 N Syringa St Ste 205, Post Falls ID 83854-5275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pennings, John L can be contacted via phone (208) 262-0945.

Contact Information

Primary practice address
750 N Syringa St Ste 205 Post Falls ID 83854-5275
Fax: (208) 415-0150
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M-6485 Idaho

Profile Details

NPI number 1073569737
LBN Legal business name Pennings, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073569737 NPPES
Idaho Other 020050503 RAILROAD MEDICARE

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