Penrose, Jennifer E
Penrose, Jennifer E is an sole proprietor health care provider with primary practice located at 1445 Galaxy Dr Ne Suite 301, Lacey WA 98516-4746. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Penrose, Jennifer E can be contacted via phone (360) 456-1444.Contact Information
Primary practice address
1445 Galaxy Dr Ne Suite 301
Lacey WA 98516-4746
Phone: (360) 456-1444
Fax: (360) 456-1883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00008404 | Washington |
Profile Details
| NPI number | 1881696805 |
|---|---|
| LBN Legal business name | Penrose, Jennifer E |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 27th, 2007 - about 18 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 | 1881696805 | NPPES |
| Washington | MEDICAID | 8342131 | |
| Washington | Other | 0222918 |
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