Pennings, Simon P

Pennings, Simon P is an individual health care provider with primary practice located at 613 Campus Dr Suite 200, Abingdon VA 24210-9703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pennings, Simon P can be contacted via phone (276) 628-1186.

Contact Information

Primary practice address
613 Campus Dr Suite 200 Abingdon VA 24210-9703
Phone: (276) 628-1186
Fax: (276) 628-8507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101034401 Virginia

Profile Details

NPI number 1316936131
LBN Legal business name Pennings, Simon P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 21st, 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 1316936131 NPPES
Other 3054602 BLUE CLASSIC
MEDICAID 5642507 BLUE CLASSIC
Other 02 BLUE CLASSIC
Other 43304 BLUE CLASSIC
Other 4583916 BLUE CLASSIC
Other 064411 BLUE CLASSIC
MEDICAID 1316936131 BLUE CLASSIC

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