Penix, Laroy Pete
Penix, Laroy Pete is an sole proprietor health care provider with primary practice located at 1100 Cleveland Ave Suite 100, East Point GA 30344-3602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Penix, Laroy Pete can be contacted via phone (404) 766-4760.Contact Information
Primary practice address
1100 Cleveland Ave Suite 100
East Point GA 30344-3602
Phone: (404) 766-4760
Fax: (404) 766-4702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 49080 | Georgia |
Profile Details
| NPI number | 1396837225 |
|---|---|
| LBN Legal business name | Penix, Laroy Pete |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396837225 | NPPES |
| Georgia | MEDICAID | 00886894A |
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