Pennington, Tracey O
Pennington, Tracey O is an individual health care provider with primary practice located at 5320 Providence Rd Suite 204, Virginia Beach VA 23464-4122. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Pennington, Tracey O can be contacted via phone (757) 962-2121.Contact Information
Primary practice address
5320 Providence Rd Suite 204
Virginia Beach VA 23464-4122
Phone: (757) 962-2121
Fax: (757) 962-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 0101231849 | Virginia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 0101231849 | Virginia |
Profile Details
| NPI number | 1497791669 |
|---|---|
| LBN Legal business name | Pennington, Tracey O |
| Credentials | M.D.,M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Feb 3rd, 2016 - about 10 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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