Pendleton, Judith
Pendleton, Judith is an sole proprietor health care provider with primary practice located at 1445 W Chandler Blvd Bldg B10, Chandler AZ 85224-5204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pendleton, Judith can be contacted via phone (480) 385-5055.Contact Information
Primary practice address
1445 W Chandler Blvd Bldg B10
Chandler AZ 85224-5204
Phone: (480) 385-5055
Fax: (480) 385-5054
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25070 | Arizona |
Profile Details
NPI number | 1437153459 |
---|---|
LBN Legal business name | Pendleton, Judith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 8th, 2005 |
Last updated | Mar 31st, 2017 - about 7 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 | 1437153459 | NPPES |
Arizona | MEDICAID | 389777 |
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