Lukin, Penny Rosen
Lukin, Penny Rosen is an sole proprietor health care provider with primary practice located at 118 Huxley Rd Ste 4, Knoxville TN 37922. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lukin, Penny Rosen can be contacted via phone (865) 671-0780.Contact Information
Primary practice address
118 Huxley Rd Ste 4
Knoxville TN 37922
Phone: (865) 671-0780
Fax: (865) 671-0822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1816 | Tennessee |
Profile Details
| NPI number | 1619921632 |
|---|---|
| LBN Legal business name | Lukin, Penny Rosen |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619921632 | NPPES |
| Tennessee | Other | 173677 | BC BS |
| Tennessee | MEDICAID | 3684597 | BC BS |
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