Penn, William Paul

Penn, William Paul is an sole proprietor health care provider with primary practice located at 9460 Middlebelt Rd , Livonia MI 48150-3042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Penn, William Paul can be contacted via phone (734) 425-0780.

Contact Information

Primary practice address
9460 Middlebelt Rd Livonia MI 48150-3042
Phone: (734) 425-0780
Fax: (734) 425-1002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00594 Michigan

Profile Details

NPI number 1740287812
LBN Legal business name Penn, William Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Nov 19th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740287812 NPPES
Michigan Other 5822444 BLUE PREF. PLUS PPO
Michigan Other 081045005 BLUE PREF. PLUS PPO
Michigan Other 25872 BLUE PREF. PLUS PPO
Michigan MEDICAID 2791058 BLUE PREF. PLUS PPO
Michigan Other 108151 BLUE PREF. PLUS PPO

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