Penta, John Michael

Penta, John Michael is an sole proprietor health care provider with primary practice located at 301 S 7Th Ave Suite 305, West Reading PA 19611-1410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Penta, John Michael can be contacted via phone (610) 376-6990.

Contact Information

Primary practice address
301 S 7Th Ave Suite 305 West Reading PA 19611-1410
Fax: (610) 376-6458
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD012179E Pennsylvania

Profile Details

NPI number 1366440513
LBN Legal business name Penta, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Nov 7th, 2007 - about 16 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 1366440513 NPPES
Pennsylvania MEDICAID 0006080480001
Pennsylvania Other 88761
Pennsylvania Other 0019754000
Pennsylvania Other 01161501
Pennsylvania Other 174356
Pennsylvania Other 076111
Pennsylvania Other 1505952
Pennsylvania Other 20008539
Pennsylvania Other P00309195

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