| Pennyfarthing Llc | |
|
520 Cedar St Ste A Sandpoint ID 83864-1569 | |
| (208) 255-1617 | |
| Not Available |
| Full Name | Pennyfarthing Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 520 Cedar St, Sandpoint, Idaho |
| Authorized Official Name and Position | Amy Loukus (OWNER) |
| Authorized Official Contact | 2082551617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennyfarthing Llc 520 Cedar St Ste A Sandpoint ID 83864-1569 Ph: (208) 255-1617 | Pennyfarthing Llc 520 Cedar St Ste A Sandpoint ID 83864-1569 Ph: (208) 255-1617 |
| NPI Number | 1003260357 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 07/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003260357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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