Bohnenkamp, Jane Kristine

Bohnenkamp, Jane Kristine is an individual health care provider with primary practice located at 834 W 4 Street , Waterloo IA 50702. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Bohnenkamp, Jane Kristine can be contacted via phone (319) 230-4360.

Contact Information

Primary practice address
834 W 4 Street Waterloo IA 50702
Phone: (319) 230-4360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 00587 Iowa
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 00872 Iowa

Profile Details

NPI number 1366403222
LBN Legal business name Bohnenkamp, Jane Kristine
Credentials MA CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
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 1366403222 NPPES
Iowa MEDICAID 0457788

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