Penvose, Ian

Penvose, Ian is an sole proprietor health care provider with primary practice located at 593 Eddy Street , Providence RI 02903. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Penvose, Ian can be contacted via phone (401) 444-4030.

Contact Information

Primary practice address
593 Eddy Street Providence RI 02903
Phone: (401) 444-4030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X LP05576 Rhode Island
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X LP05576 Rhode Island

Profile Details

NPI number 1629658943
LBN Legal business name Penvose, Ian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2021
Last updated Jun 30th, 2023 - 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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