Penn, Dominique Chrystel
Penn, Dominique Chrystel is an individual health care provider with primary practice located at 100 Water St Apt 27 , Stoughton MA 02072-2866. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Penn, Dominique Chrystel can be contacted via phone (781) 975-4441.Contact Information
Primary practice address
100 Water St Apt 27
Stoughton MA 02072-2866
Phone: (781) 975-4441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LN95762 | Massachusetts |
Profile Details
| NPI number | 1871172619 |
|---|---|
| LBN Legal business name | Penn, Dominique Chrystel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2021 |
| Last updated | Apr 7th, 2021 - about 5 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 | 1871172619 | NPPES |
| Other | NO | NO | |
| Other | NA | NO |
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