Penafiel, Jay B
Penafiel, Jay B is an individual health care provider with primary practice located at 1417 Madison Park Dr , Glen Burnie MD 21061-5613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Penafiel, Jay B can be contacted via phone (410) 768-6600.Contact Information
Primary practice address
1417 Madison Park Dr
Glen Burnie MD 21061-5613
Phone: (410) 768-6600
Fax: (410) 768-3132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D50087 | Maryland |
Profile Details
| NPI number | 1174515217 |
|---|---|
| LBN Legal business name | Penafiel, Jay B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Mar 19th, 2012 - about 12 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 | 1174515217 | NPPES |
| Maryland | Other | 060068110 | RAILROAD MEDICARE |
| Maryland | MEDICAID | 970505800 | RAILROAD MEDICARE |
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