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Contact Information

SANDY J PENNER, CRNA
429 WEST ELM STREET.
HOBART, OK73651
 Phone: 580-726-3324
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SANDY J PENNER · (Male)

NPI Number 1578663977
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # R0049080
Hospital affiliation(s)
  • INTEGRIS CLINTON REGIONAL HOSPITAL - (Acute Care)
    100 NORTH 30TH STREET
    CLINTON, OK 73601
  • WEATHERFORD REGIONAL HOSPITAL - (Critical Access)
    3701 E MAIN
    WEATHERFORD, OK 73096
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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