Pennywell, Daniel Ray

Pennywell, Daniel Ray is an individual health care provider with primary practice located at 1505 Doctors Dr , Bossier City LA 71111-3321. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Pennywell, Daniel Ray can be contacted via phone (318) 584-7133.

Contact Information

Primary practice address
1505 Doctors Dr Bossier City LA 71111-3321
Phone: (318) 584-7133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X CIT-5353 Louisiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CIT-5353 Louisiana

Profile Details

NPI number 1376206482
LBN Legal business name Pennywell, Daniel Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2021
Last updated Oct 22nd, 2021 - about 3 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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