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
Fax: (480) 385-5054
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437153459 NPPES
Arizona MEDICAID 389777

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