Kathryn Penfold M., Sc, Llc

LBN: Kathryn Penfold M., Sc, Llc
Kathryn Penfold M., Sc, Llc is an health care organization with primary practice located at 820 W Front St , Traverse City MI 49684-2466. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kathryn Penfold M., Sc, Llc can be contacted via phone (231) 590-6242, or through Penfold, Kathryn J via phone (231) 590-6242.

Contact Information

Primary practice address
820 W Front St Traverse City MI 49684-2466
Phone: (231) 590-6242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Penfold, Kathryn J M, SC
Phone: (231) 590-6242

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301008173 Michigan

Profile Details

NPI number 1205223468
LBN Legal business name Kathryn Penfold M., Sc, Llc
DBA Doing business as
Authorized official Penfold, Kathryn J M, SC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2015
Last updated Apr 24th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205223468 NPPES
Michigan Other 1336325281 INDIVIDUAL NPI OF SOLE MEMBER

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