Penney, Jeffrey Freeman

Penney, Jeffrey Freeman is an individual health care provider with primary practice located at 141 South Mccormick Suite 200, Prescott AZ 86303-4731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Penney, Jeffrey Freeman can be contacted via phone (928) 445-8400.

Contact Information

Primary practice address
141 South Mccormick Suite 200 Prescott AZ 86303-4731
Fax: (928) 776-0208
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X AZ 18707 Arizona

Profile Details

NPI number 1063590297
LBN Legal business name Penney, Jeffrey Freeman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 22nd, 2010 - about 14 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 1063590297 NPPES
Arizona MEDICAID 294372

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