Individual provider · Type 1 NPI

Earl Penn Iii

Driver · Parma, OH

NPI number 1780386169 Active

Practice location

6121 Allanwood Dr
Parma, OH 44129-4541

Mailing address

2000 Lee Rd Unit 389
Cleveland Heights, OH 44118-2572

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XRY069575 (OH)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1780386169

Earl Penn Iii's National Provider Identifier is 1780386169, issued on Mar 20, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Parma, OH. The record was last updated on Mar 20, 2023.