Dudley, Penny Marie
Dudley, Penny Marie is an sole proprietor health care provider with primary practice located at 434 Bridgewater St , Fredericksburg VA 22401-3304. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dudley, Penny Marie can be contacted via phone (540) 785-0200.Contact Information
Primary practice address
434 Bridgewater St
Fredericksburg VA 22401-3304
Phone: (540) 785-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 0104556187 | Virginia |
Profile Details
| NPI number | 1215950837 |
|---|---|
| LBN Legal business name | Dudley, Penny Marie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Aug 25th, 2023 - about last year |
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 | 1215950837 | NPPES |
| Virginia | Other | 194239 | ANTHEM/BCBS/FEP |
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