Mcdonald, Penelope Jane

Mcdonald, Penelope Jane is an individual health care provider with primary practice located at 4692 Brownsboro Rd , Winston Salem NC 27106-3410. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mcdonald, Penelope Jane can be contacted via phone (336) 251-1114.

Contact Information

Primary practice address
4692 Brownsboro Rd Winston Salem NC 27106-3410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 33867 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33867 North Carolina

Profile Details

NPI number 1659349231
LBN Legal business name Mcdonald, Penelope Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659349231 NPPES
North Carolina Other 33867 LICENSE
North Carolina Other 0101052020 LICENSE
North Carolina MEDICAID 7956465 LICENSE

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