Penn, Justin D
Penn, Justin D is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 3 , Silverdale WA 98383-7662. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Penn, Justin D can be contacted via phone (564) 240-4200.Contact Information
Primary practice address
1950 Nw Myhre Rd Fl 3
Silverdale WA 98383-7662
Phone: (564) 240-4200
Fax: (564) 240-4299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 256268 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 054224 | Colorado |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD60544826 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 256268 | New York |
Profile Details
| NPI number | 1770755985 |
|---|---|
| LBN Legal business name | Penn, Justin D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2008 |
| Last updated | Sep 10th, 2025 - about last year |
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 | 1770755985 | NPPES |
| Colorado | Other | 024975 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 94509719 | KAISER COMMERCIAL NUMBER |
| Colorado | MEDICAID | 2044356 | KAISER COMMERCIAL NUMBER |
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