Penman, Jeffrey

Penman, Jeffrey is an individual health care provider with primary practice located at 505 W 400 N , Orem UT 84057-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Penman, Jeffrey can be contacted via phone (801) 714-3450.

Contact Information

Primary practice address
505 W 400 N Orem UT 84057-1950
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10410184-1205 Utah

Profile Details

NPI number 1437178076
LBN Legal business name Penman, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437178076 NPPES
Alaska MEDICAID MD6108

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