Penoyar, John
Penoyar, John is an individual health care provider with primary practice located at 1 Mill St Suite 204, Burlington VT 05401-1530. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Penoyar, John can be contacted via phone (802) 860-8435.Contact Information
Primary practice address
1 Mill St Suite 204
Burlington VT 05401-1530
Phone: (802) 860-8435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 047-0000630 | Vermont |
Profile Details
| NPI number | 1548215122 |
|---|---|
| LBN Legal business name | Penoyar, John |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1548215122 | NPPES |
| Vermont | MEDICAID | 1005771 |
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