Penn, Joseph Vincent
Penn, Joseph Vincent is an individual health care provider with primary practice located at 200 River Pointe Drive Utmb Cmc Suite #200, Conroe TX 77304. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Penn, Joseph Vincent can be contacted via phone (936) 494-4170.Contact Information
Primary practice address
200 River Pointe Drive Utmb Cmc Suite #200
Conroe TX 77304
Phone: (936) 494-4170
Fax: (936) 494-4195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | MD08849 | Rhode Island |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD08849 | Rhode Island |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD08849 | Rhode Island |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | K7081 | Texas |
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | K7081 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | K7081 | Texas |
Profile Details
| NPI number | 1508841123 |
|---|---|
| LBN Legal business name | Penn, Joseph Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Oct 10th, 2013 - about 10 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 | 1508841123 | NPPES |
| Rhode Island | MEDICAID | 7007282 |
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