Penn, Robert L

Penn, Robert L is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine, Infectious Disease, Shreveport LA 71103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Penn, Robert L can be contacted via phone (318) 675-7737.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Medicine, Infectious Disease Shreveport LA 71103
Fax: (318) 675-5666
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 04670R Louisiana

Profile Details

NPI number 1821246737
LBN Legal business name Penn, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Sep 4th, 2008 - about 16 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 1821246737 NPPES
Louisiana MEDICAID 1195332

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