Penn-Juenger, Angela

Penn-Juenger, Angela is an individual health care provider with primary practice located at 1015 W Washbourne St , Jay OK 74346-4205. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Penn-Juenger, Angela can be contacted via phone (918) 857-2158.

Contact Information

Primary practice address
1015 W Washbourne St Jay OK 74346-4205
Phone: (918) 857-2158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750778817
LBN Legal business name Penn-Juenger, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2015
Last updated Mar 22nd, 2022 - about 2 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 1750778817 NPPES
Oklahoma MEDICAID 200592150B

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