Penner, Jared

Penner, Jared is an individual health care provider with primary practice located at 4209 Mackenzie Dr , Moore OK 73160-1267. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Penner, Jared can be contacted via phone (480) 200-2506.

Contact Information

Primary practice address
4209 Mackenzie Dr Moore OK 73160-1267
Phone: (480) 200-2506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1376163790
LBN Legal business name Penner, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2020
Last updated Apr 26th, 2020 - about 5 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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