Pennisi, Dominic

Pennisi, Dominic is an sole proprietor health care provider with primary practice located at 832 S Fairmont Ave , Lodi CA 95240-5117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pennisi, Dominic can be contacted via phone (209) 365-9331.

Contact Information

Primary practice address
832 S Fairmont Ave Lodi CA 95240-5117
Phone: (209) 365-9331
Fax: (209) 365-9359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A175794 California

Profile Details

NPI number 1548703036
LBN Legal business name Pennisi, Dominic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2016
Last updated Feb 11th, 2022 - about 4 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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