Pennock, Eric A

Pennock, Eric A is an individual health care provider with primary practice located at 124 Graham Park Dr. , Cranberry Twp PA 16066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pennock, Eric A can be contacted via phone (724) 772-3388.

Contact Information

Primary practice address
124 Graham Park Dr. Cranberry Twp PA 16066
Phone: (724) 772-3388
Fax: (724) 772-7021
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD436979 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01065165A Indiana

Profile Details

NPI number 1760669949
LBN Legal business name Pennock, Eric A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Mar 10th, 2022 - about 4 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 1760669949 NPPES
Pennsylvania MEDICAID 1023382110001

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