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Contact Information

IAN J PENNISTON, DO
6900 N PECOS RD
NORTH LAS VEGAS, NV89086-4400
 Phone: 702-791-9000
 Fax:
 Website:
 

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
Indicates primary specialty

NPI Profile & details for IAN J PENNISTON · (Male)

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
  • MN License # 59778
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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