Pennington, Donna S
Pennington, Donna S is an individual health care provider with primary practice located at 1535 Gull Rd # 150, Kalamazoo MI 49048-1650. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Pennington, Donna S can be contacted via phone (269) 488-2191.Contact Information
Primary practice address
1535 Gull Rd # 150
Kalamazoo MI 49048-1650
Phone: (269) 488-2191
Fax: (269) 488-2191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704135201 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704135201 | Michigan |
Profile Details
| NPI number | 1376589143 |
|---|---|
| LBN Legal business name | Pennington, Donna S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Oct 16th, 2014 - about 12 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 | 1376589143 | NPPES |
| Michigan | Other | 5008704510 | BCBS PIN |
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