Donald E Penn in Morton - Gastroenterology

Donald E Penn - NPI 1780628388

Donald E Penn is a Gastroenterology in Morton, Illinois. Donald E Penn practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Donald E Penn is 1780628388. The last update date is 2009-05-29.

Donald E Penn's current location address is Po Box 365, Morton, Illinois. You can contact this provider via phone number 3096724980 and fax number 3096712944. The mailing address for Donald E Penn is Po Box 365, Morton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald E Penn
Address Po Box 365, Morton, Illinois
Phone Number 3096724980
Fax Number 3096712944
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1780628388
Provider Enumeration Date 2006-06-15
Last Updated Date 2009-05-29

Provider Mailing Address Detail

Address Po Box 365
City Morton
State Illinois (IL)
Post Code 615500365
Phone Number 3096724980
Fax Number 3096712944

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 36062844
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
371221637 IL FEDERAL TAX IDENTIFICATIO
7215152 IL BLUE CROSS
166330 IL HEALTHLINK
100004399 IL RAILROAD MEDICARE
IL0101 IL JOHN DEERE
4282553 IL AETNA HEALTH PLANS
8850 IL HEALTH ALLIANCE
36062844 IL --
776530 IL MEDICARE GROUP NUMBER

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FAQs about Donald E Penn

What is the unique identifier code issued to Donald E Penn by the Centers for Medicare & Medicaid Services?

The Donald E Penn has been assigned the NPI (National Provider Identifier) 1780628388. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Donald E Penn located?

The Donald E Penn is located at Po Box 365, Morton, IL 615500365.

What is Donald E Penn's specialized field of practice, and what is the corresponding taxonomy classification code?

The Donald E Penn's area of specialization is Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0100X.

When did Donald E Penn receive its 1780628388 assignment?

The Donald E Penn was assigned its 1780628388 on 2006-06-15, which is the date when this unique identifier was issued to the organization.

When was the Donald E Penn's information last updated?

The Donald E Penn's information was last updated on 2009-05-29.

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