Caruso, Jennifer Kristine

Caruso, Jennifer Kristine is an individual health care provider with primary practice located at 22255 Greenfield Rd Suite 350, Southfield MI 48075-3710. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Caruso, Jennifer Kristine can be contacted via phone (248) 849-2710.

Contact Information

Primary practice address
22255 Greenfield Rd Suite 350 Southfield MI 48075-3710
Phone: (248) 849-2710
Fax: (248) 849-4024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101018168 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS016329 Pennsylvania
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 5101018168 Michigan

Profile Details

NPI number 1558596015
LBN Legal business name Caruso, Jennifer Kristine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2009
Last updated Aug 1st, 2016 - about 10 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 1558596015 NPPES
Pennsylvania Other 30152919 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania Other 30152902 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania Other 30153192 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania Other 420140 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania Other 30153194 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania Other 1622982 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania Other 30153197 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania MEDICAID 065773500 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania MEDICAID 102804570 AMERIHEALTH CARITAS, PA - WMG - THFPC
Pennsylvania Other 2884237 AMERIHEALTH CARITAS, PA - WMG - THFPC

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