Barker, Penelope Ann
Barker, Penelope Ann is an individual health care provider with primary practice located at 20225 E 9 Mile Rd , Saint Clair Shores MI 48080-1775. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Barker, Penelope Ann can be contacted via phone (586) 779-8700.Contact Information
Primary practice address
20225 E 9 Mile Rd
Saint Clair Shores MI 48080-1775
Phone: (586) 779-8700
Fax: (586) 498-1425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 5101013408 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101013408 | Michigan |
Profile Details
| NPI number | 1770552382 |
|---|---|
| LBN Legal business name | Barker, Penelope Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Apr 13th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770552382 | NPPES |
| Michigan | Other | 700E031610 | BCBSM GROUP PIN |
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