Penaloza, Jill Marie

Penaloza, Jill Marie is an sole proprietor health care provider with primary practice located at 127 Chesapeake Ave , Annapolis MD 21403-2607. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Penaloza, Jill Marie can be contacted via phone (410) 279-3106.

Contact Information

Primary practice address
127 Chesapeake Ave Annapolis MD 21403-2607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X ATC022 Maryland

Profile Details

NPI number 1316039779
LBN Legal business name Penaloza, Jill Marie
Credentials LCPAT, CGP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jun 20th, 2018 - about 6 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.

Request for update

Popular Providers