Ward, Penelope
Ward, Penelope is an sole proprietor health care provider with primary practice located at 3415 Wrightsville Avenue , Wilmington NC 28403-4117. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ward, Penelope can be contacted via phone (910) 200-2578.Contact Information
Primary practice address
3415 Wrightsville Avenue
Wilmington NC 28403-4117
Phone: (910) 200-2578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3073 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 014585 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 03883 | Maryland |
Profile Details
| NPI number | 1194707364 |
|---|---|
| LBN Legal business name | Ward, Penelope |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jan 29th, 2009 - about 16 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 | 1194707364 | NPPES |
| North Carolina | MEDICAID | 6000588 | |
| North Carolina | Other | E0787 | |
| North Carolina | Other | 214440330 | |
| North Carolina | Other | 2160562 | |
| North Carolina | Other | 560652-000 | |
| North Carolina | Other | 046MY | |
| North Carolina | Other | 331904 |
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