Penrod, James Harry

Penrod, James Harry is an sole proprietor health care provider with primary practice located at 1732 Kingsley Ave Suite 1, Orange Park FL 32073-4412. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Penrod, James Harry can be contacted via phone (904) 264-0600.

Contact Information

Primary practice address
1732 Kingsley Ave Suite 1 Orange Park FL 32073-4412
Phone: (904) 264-0600
Fax: (904) 264-8972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY 3311 Florida

Profile Details

NPI number 1669547170
LBN Legal business name Penrod, James Harry
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669547170 NPPES
Florida Other 75564 BLUE CROSS BLUE SHIELD

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