Penne-Casanova, Roberto A

Penne-Casanova, Roberto A is an sole proprietor health care provider with primary practice located at 3991 Dutchmans Ln Medical Plaza Ii Ste G03, Louisville KY 40207-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Penne-Casanova, Roberto A can be contacted via phone (502) 899-6100.

Contact Information

Primary practice address
3991 Dutchmans Ln Medical Plaza Ii Ste G03 Louisville KY 40207-4700
Phone: (502) 899-6100
Fax: (502) 899-6108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 37074 Kentucky

Profile Details

NPI number 1265492748
LBN Legal business name Penne-Casanova, Roberto A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Jul 1st, 2010 - about 15 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 1265492748 NPPES
Kentucky Other P00022895 RAILROAD MEDICARE
Kentucky MEDICAID 64048564 RAILROAD MEDICARE
Kentucky Other 000000235989 RAILROAD MEDICARE
Kentucky Other 1170390 RAILROAD MEDICARE
Kentucky Other 2440625000 RAILROAD MEDICARE
Kentucky MEDICAID 200386450A RAILROAD MEDICARE

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