Individual
JACK R. PENCE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 N FAIRFIELD RD, SUITE 300, BEAVERCREEK, OH 45432-2762
(937) 429-7352
(937) 429-3772
Mailing address
6680 POE AVE, SUITE 200, DAYTON, OH 45414-2854
(937) 280-8366
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35-043064
OH
208800000X
Urology Physician
35043064
OH
208800000X
Urology Physician
Primary
35043064P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0622857
—
OH
Enumeration date
07/08/2005
Last updated
03/17/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us