Penick, Edward M

Penick, Edward M is an individual health care provider with primary practice located at 5 St. Vincent Circle, Suite 101 , Little Rock AR 72205-5412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Penick, Edward M can be contacted via phone (501) 664-5354.

Contact Information

Primary practice address
5 St. Vincent Circle, Suite 101 Little Rock AR 72205-5412
Phone: (501) 664-5354
Fax: (501) 664-5257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E-4798 Arkansas

Profile Details

NPI number 1962449892
LBN Legal business name Penick, Edward M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 17th, 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 1962449892 NPPES
Arkansas MEDICAID 160765001
Arkansas Other P00337243

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