Penalver, Ovidio Moises
Penalver, Ovidio Moises is an individual health care provider with primary practice located at 319 5Th St Sw , Puyallup WA 98371-5828. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Penalver, Ovidio Moises can be contacted via phone (253) 848-0351.Contact Information
Primary practice address
319 5Th St Sw
Puyallup WA 98371-5828
Phone: (253) 848-0351
Fax: (253) 841-1397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00015660 | Washington |
Profile Details
| NPI number | 1457357964 |
|---|---|
| LBN Legal business name | Penalver, Ovidio Moises |
| Credentials | MD, PS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457357964 | NPPES |
| Washington | MEDICAID | 7110653 |
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