MR. MATTHEW LEE PENSE IDEPENDENT DUTY CORP NPI 1144490202

NPI Information

  • NPI: 1144490202
  • Provider Name: MR. MATTHEW LEE PENSE, IDEPENDENT DUTY CORP
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 814 RADFORD BLVD
    ALBANY, GA
    ZIP 31704
  • Phone: (229) 639-7886

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NPI Details

MR. Matthew Lee Pense, IDEPENDENT DUTY CORP is a military health care provider in Albany, GA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Matthew Lee Pense, IDEPENDENT DUTY CORP NPI is 1144490202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

814 RADFORD BLVD
ALBANY, GA
ZIP 31704-998
Phone: (229) 639-7886

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care ProviderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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