Koslo, Jennifer Louise
Koslo, Jennifer Louise is an sole proprietor health care provider with primary practice located at 5633 South 42Nd Street , Phoenix AZ 85040. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Koslo, Jennifer Louise can be contacted via phone (602) 363-4442.Contact Information
Primary practice address
5633 South 42Nd Street
Phoenix AZ 85040
Phone: (602) 363-4442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 863062 | |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 863062 |
Profile Details
| NPI number | 1275708505 |
|---|---|
| LBN Legal business name | Koslo, Jennifer Louise |
| Credentials | MS, RD, CSSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 25th, 2009 - about 17 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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