Penaloza, Jill Marie
Penaloza, Jill Marie is an sole proprietor health care provider with primary practice located at 127 Chesapeake Ave , Annapolis MD 21403-2607. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Penaloza, Jill Marie can be contacted via phone (410) 279-3106.Contact Information
Primary practice address
127 Chesapeake Ave
Annapolis MD 21403-2607
Phone: (410) 279-3106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ATC022 | Maryland |
Profile Details
| NPI number | 1316039779 |
|---|---|
| LBN Legal business name | Penaloza, Jill Marie |
| Credentials | LCPAT, CGP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jun 20th, 2018 - about 8 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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