Penniman, Star
Penniman, Star is an sole proprietor health care provider with primary practice located at 714 W Main St , Grass Valley CA 95945-6410. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as her primary health care specialty. Penniman, Star can be contacted via phone (530) 477-9800.Contact Information
Primary practice address
714 W Main St
Grass Valley CA 95945-6410
Phone: (530) 477-9800
Fax: (530) 477-9803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X |
Profile Details
| NPI number | 1801236559 |
|---|---|
| LBN Legal business name | Penniman, Star |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2013 |
| Last updated | Jun 26th, 2013 - about 11 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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