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
Phone: (251) 865-1852
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417117664 | NPPES |
Alabama | MEDICAID | 189689 | |
Alabama | MEDICAID | 189935 | |
Alabama | MEDICAID | 1087581 | |
Alabama | MEDICAID | 191317 |
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