Krivetzky, Joann
Krivetzky, Joann is an individual health care provider with primary practice located at 4256 Fulton Dr Nw Ste B, Canton OH 44718-2879. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Krivetzky, Joann can be contacted via phone (330) 546-0751.Contact Information
Primary practice address
4256 Fulton Dr Nw Ste B
Canton OH 44718-2879
Phone: (330) 546-0751
Fax: (330) 956-5237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35072306K | Ohio |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 35-072306K | Ohio |
Profile Details
| NPI number | 1922017607 |
|---|---|
| LBN Legal business name | Krivetzky, Joann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | May 24th, 2012 - about 14 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 | 1922017607 | NPPES |
| Other | 1790070191 | GROUP NPI | |
| MEDICAID | 2025098 | GROUP NPI |
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