Pennisi, Vincent P

Pennisi, Vincent P is an individual health care provider with primary practice located at 1617 N California St. Suite 2-A, Stockton CA 95204. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Pennisi, Vincent P can be contacted via phone (209) 466-8546.

Contact Information

Primary practice address
1617 N California St. Suite 2-A Stockton CA 95204
Phone: (209) 466-8546
Fax: (209) 466-3335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G45259 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G45259 California

Profile Details

NPI number 1487653341
LBN Legal business name Pennisi, Vincent P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Sep 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487653341 NPPES
California MEDICAID 00G452590
California Other 1386636165

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