Streby, Penny R

Streby, Penny R is an individual health care provider with primary practice located at 105 Vinecrest Ct # 500 , Greenwood SC 29646-8031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Streby, Penny R can be contacted via phone (864) 725-7900.

Contact Information

Primary practice address
105 Vinecrest Ct # 500 Greenwood SC 29646-8031
Phone: (864) 725-7900
Fax: (864) 725-7910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01941 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA051606 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2068 South Carolina

Profile Details

NPI number 1467490276
LBN Legal business name Streby, Penny R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Mar 20th, 2017 - about 9 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 1467490276 NPPES
New York MEDICAID 03331211
New York MEDICAID 1905PA

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