Dupre, Penny Xuan

Dupre, Penny Xuan is an individual health care provider with primary practice located at 10075 Grand Bay Wilmer Rd S , Grand Bay AL 36541-5003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dupre, Penny Xuan can be contacted via phone (251) 865-1852.

Contact Information

Primary practice address
10075 Grand Bay Wilmer Rd S Grand Bay AL 36541-5003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.203001 Louisiana

Profile Details

NPI number 1417117664
LBN Legal business name Dupre, Penny Xuan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Dec 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417117664 NPPES
Alabama MEDICAID 189689
Alabama MEDICAID 189935
Alabama MEDICAID 1087581
Alabama MEDICAID 191317

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