Penegar, Joel L.
Penegar, Joel L. is an sole proprietor health care provider with primary practice located at 1007 Skyway Dr , Monroe NC 28110-3050. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Penegar, Joel L. can be contacted via phone (704) 289-1547.Contact Information
Primary practice address
1007 Skyway Dr
Monroe NC 28110-3050
Phone: (704) 289-1547
Fax: (704) 291-9441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0933 | North Carolina |
Profile Details
| NPI number | 1598944845 |
|---|---|
| LBN Legal business name | Penegar, Joel L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2007 |
| Last updated | Feb 11th, 2022 - about 2 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 | 1598944845 | NPPES |
| North Carolina | Other | 09703 | BLCROSS |
| North Carolina | MEDICAID | 8909703 | BLCROSS |
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