Christopher Penka is a Specialist in Ogden, Utah. Christopher Penka practices all healthcare services and medical treatments related to Specialist. The NPI Number for Christopher Penka is 1205833050. The last update date is 2007-07-08.
Christopher Penka's current location address is 4403 Harrison Blvd, Ogden, Utah. You can contact this provider via phone number 8013876520 and fax number 8013876557. The mailing address for Christopher Penka is 4403 Harrison Blvd, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Penka |
|---|---|
| Address | 4403 Harrison Blvd, Ogden, Utah |
| Phone Number | 8013876520 |
| Fax Number | 8013876557 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205833050 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4403 Harrison Blvd |
|---|---|
| City | Ogden |
| State | Utah (UT) |
| Post Code | 844033271 |
| Phone Number | 8013876520 |
| Fax Number | 8013876557 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 811667271205 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Christopher Penka by the Centers for Medicare & Medicaid Services?
The Christopher Penka has been issued the NPI (National Provider Identifier) 1205833050, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Christopher Penka?
The Christopher Penka is situated at 4403 Harrison Blvd, in the city of Ogden, state of UT, with the zip code 844033271.
What is Christopher Penka's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Christopher Penka's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205833050 to Christopher Penka?
The Christopher Penka received its 1205833050 assignment from the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date were the details related to Christopher Penka most recently updated or revised?
The information pertaining to Christopher Penka, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.