Penton, Robert Wayne

Penton, Robert Wayne is an individual health care provider with primary practice located at 1290 S Willis St Ste.213, Abilene TX 79605-4068. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Penton, Robert Wayne can be contacted via phone (325) 690-1979.

Contact Information

Primary practice address
1290 S Willis St Ste.213 Abilene TX 79605-4068
Phone: (325) 690-1979
Fax: (325) 690-1979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10118 Texas

Profile Details

NPI number 1568404028
LBN Legal business name Penton, Robert Wayne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568404028 NPPES
Texas Other S61Z BLUE CROSS/BLUE SHIELD

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