Penn, Juliet M
Penn, Juliet M is an individual health care provider with primary practice located at 309 W Quinto St , Santa Barbara CA 93105-5318. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Penn, Juliet M can be contacted via phone (805) 563-0041.Contact Information
Primary practice address
309 W Quinto St
Santa Barbara CA 93105-5318
Phone: (805) 563-0041
Fax: (805) 563-0051
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | A105540 | California |
Profile Details
NPI number | 1215175070 |
---|---|
LBN Legal business name | Penn, Juliet M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 31st, 2009 |
Last updated | Dec 14th, 2022 - about 3 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 | 1215175070 | NPPES |
California | Other | 0A1055400 | BLUE SHIELD |
California | Other | P01061463 | BLUE SHIELD |
California | Other | 4912531 | BLUE SHIELD |
California | MEDICAID | 1215175070 | BLUE SHIELD |
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