Pennock, Paul C
Pennock, Paul C is an individual health care provider with primary practice located at 701 N Clayton St Suite 407, Wilmington DE 19805-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pennock, Paul C can be contacted via phone (302) 421-9721.Contact Information
Primary practice address
701 N Clayton St Suite 407
Wilmington DE 19805-3165
Phone: (302) 421-9721
Fax: (302) 421-9728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C10000416 | Delaware |
Profile Details
| NPI number | 1730155748 |
|---|---|
| LBN Legal business name | Pennock, Paul C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1730155748 | NPPES |
| Delaware | MEDICAID | 000013050501 |
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