Pennington, Amanda
Pennington, Amanda is an individual health care provider with primary practice located at 812 Gorman Ave , Elkins WV 26241-3181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pennington, Amanda can be contacted via phone (304) 637-3894.Contact Information
Primary practice address
812 Gorman Ave
Elkins WV 26241-3181
Phone: (304) 637-3894
Fax: (304) 637-0435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24442 | West Virginia |
Profile Details
| NPI number | 1649433202 |
|---|---|
| LBN Legal business name | Pennington, Amanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Nov 3rd, 2015 - about 11 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 | 1649433202 | NPPES |
| West Virginia | MEDICAID | 3810020336 |
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