Penn, Justin D
Penn, Justin D is an individual health care provider with primary practice located at 2709 Hemlock St Harrison Healthpartners Cardiovascular Consultants, Bremerton WA 98310-2623. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Penn, Justin D can be contacted via phone (360) 373-2547.Contact Information
Primary practice address
2709 Hemlock St Harrison Healthpartners Cardiovascular Consultants
Bremerton WA 98310-2623
Phone: (360) 373-2547
Fax: (360) 479-8268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 256268 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 256268 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60544826 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 054224 | Colorado |
Profile Details
| NPI number | 1770755985 |
|---|---|
| LBN Legal business name | Penn, Justin D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2008 |
| Last updated | Jan 6th, 2016 - about 8 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 | 1770755985 | NPPES |
| Colorado | Other | 024975 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 2044356 | KAISER COMMERCIAL NUMBER |
| Colorado | Other | G8940389 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 94509719 | KAISER COMMERCIAL NUMBER |
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