Gregory L. Penner in Brunswick - Specialist
Gregory L. Penner - NPI 1275610198
Gregory L. Penner is a Specialist in Brunswick, Maine. Gregory L. Penner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gregory L. Penner is 1275610198. The last update date is 2015-06-22.
Gregory L. Penner's current location address is 331 Maine St, Brunswick, Maine. You can contact this provider via phone number 2077210911 and fax number 2077219729. The mailing address for Gregory L. Penner is 331 Maine St, Brunswick, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory L. Penner |
|---|---|
| Address | 331 Maine St, Brunswick, Maine |
| Phone Number | 2077210911 |
| Fax Number | 2077219729 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275610198 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2015-06-22 |
Provider Mailing Address Detail
| Address | 331 Maine St |
|---|---|
| City | Brunswick |
| State | Maine (ME) |
| Post Code | 40113358 |
| Phone Number | 2077210911 |
| Fax Number | 2077219729 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 12949 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17636 | ME | BS | |
| 1027557 | ME | AETNA | |
| 122050000 | ME | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gregory L. Penner by the Centers for Medicare & Medicaid Services?
The Gregory L. Penner has been issued the NPI (National Provider Identifier) 1275610198. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory L. Penner is physically located?
The Gregory L. Penner is physically situated at the following address: 331 Maine St, Brunswick, ME, 40113358.
What is the area of specialization for Gregory L. Penner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory L. Penner is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Gregory L. Penner receive its 1275610198 assignment from the Centers for Medicare & Medicaid Services?
The Gregory L. Penner was assigned its 1275610198 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information related to Gregory L. Penner most recently updated or refreshed?
The details pertaining to the Gregory L. Penner, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-06-22.