NPI Profile for Dr IAN J PENNISTON in NORTH LAS VEGAS, NV.
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Behavioral Neurology & Neuropsychiatry |
2084B0040X | |||
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI # | 1023451101 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 04/09/2013 | |
| Last updated | 06/30/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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IAN J PENNISTON
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