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Contact Information

JOHN PENLEY, AT
1630 BOGIE LAKE RD
WHITE LAKE, MI48383
 Phone: 734-474-0783
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JOHN PENLEY · (Male)

NPI Number 1326583170
Status Active
Credentials AT
Entity Individual
Enumeration date 01/04/2017
Last updated 01/04/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 2601001645
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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