Iwans, Jennifer Alida
Iwans, Jennifer Alida is an individual health care provider with primary practice located at 55 Calvin St , West Springfield MA 01089-2859. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Iwans, Jennifer Alida can be contacted via phone (413) 363-3004.Contact Information
Primary practice address
55 Calvin St
West Springfield MA 01089-2859
Phone: (413) 363-3004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1124430632 |
|---|---|
| LBN Legal business name | Iwans, Jennifer Alida |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2014 |
| Last updated | Jun 2nd, 2014 - about 12 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 | 1124430632 | NPPES |
| Massachusetts | Other | 101Y00000X | COUNSELOR- USE FOR BA STAFF |
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