Powell, Penni

Powell, Penni is an individual health care provider with primary practice located at 400 N Mcclelland St , Santa Maria CA 93454-4128. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Powell, Penni can be contacted via phone (805) 614-0033.

Contact Information

Primary practice address
400 N Mcclelland St Santa Maria CA 93454-4128
Phone: (805) 614-0033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 16978 California

Profile Details

NPI number 1689892259
LBN Legal business name Powell, Penni
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1689892259 NPPES
California Other 16978 RD REGISTRATION #

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