Penot, Alexis Robert

Penot, Alexis Robert is an individual health care provider with primary practice located at 1201 7Th St Se , Decatur AL 35601-3337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Penot, Alexis Robert can be contacted via phone (256) 341-2909.

Contact Information

Primary practice address
1201 7Th St Se Decatur AL 35601-3337
Fax: (256) 341-2552
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39962 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28006 Alabama

Profile Details

NPI number 1619952041
LBN Legal business name Penot, Alexis Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated May 15th, 2024 - about 6 months 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 1619952041 NPPES
Tennessee MEDICAID 3334311

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