Barnes, Penelope Darell

Barnes, Penelope Darell is an individual health care provider with primary practice located at 5966 W Curtisian Ave , Boise ID 83704-8801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Barnes, Penelope Darell can be contacted via phone (208) 302-5480.

Contact Information

Primary practice address
5966 W Curtisian Ave Boise ID 83704-8801
Phone: (208) 302-5480
Fax: (208) 302-5455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MC-2512 Idaho
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD00042437 Washington

Profile Details

NPI number 1518042340
LBN Legal business name Barnes, Penelope Darell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 21st, 2023 - about 3 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 1518042340 NPPES
Washington MEDICAID 8451163
Washington Other 308120

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