Pennington, Roy David
Pennington, Roy David is an individual health care provider with primary practice located at 215 Marion Ave , Mccomb MS 39648-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pennington, Roy David can be contacted via phone (601) 249-1166.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 13496 | Mississippi |
Profile Details
| NPI number | 1770690091 |
|---|---|
| LBN Legal business name | Pennington, Roy David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Feb 14th, 2017 - about 9 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 | 1770690091 | NPPES |
| Mississippi | Other | 050078275 | MEDICARE RAILROAD |
| Mississippi | MEDICAID | 00112194 | MEDICARE RAILROAD |
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