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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 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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