Ragan, Penelope Boyette

Ragan, Penelope Boyette is an individual health care provider with primary practice located at 205 Glen Oak Dr , Goldsboro NC 27534-1705. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ragan, Penelope Boyette can be contacted via phone (919) 734-1773.

Contact Information

Primary practice address
205 Glen Oak Dr Goldsboro NC 27534-1705
Fax: (919) 580-0023
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4527 North Carolina

Profile Details

NPI number 1043390891
LBN Legal business name Ragan, Penelope Boyette
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043390891 NPPES
North Carolina MEDICAID 7210938

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