Pena-Placencia, Deyanira

Pena-Placencia, Deyanira is an sole proprietor health care provider with primary practice located at 4 Monroe St # 2A , Passaic NJ 07055-8108. She recently has only one registered license in Suppliers / Blood Bank, which is considered as her primary health care specialty. Pena-Placencia, Deyanira can be contacted via phone (973) 405-8595.

Contact Information

Primary practice address
4 Monroe St # 2A Passaic NJ 07055-8108
Fax: (973) 779-4804
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Blood Bank 331L00000X

Profile Details

NPI number 1346829579
LBN Legal business name Pena-Placencia, Deyanira
Credentials INDEPENDENT CONTRACT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2021
Last updated Apr 5th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346829579 NPPES
Other NG INSURANCE STATUS PENDING

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