Krutz, Jennifer K
Krutz, Jennifer K is an sole proprietor health care provider with primary practice located at 308 S Bolivar Ave , Cleveland MS 38732-3244. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Krutz, Jennifer K can be contacted via phone (662) 843-2339.Contact Information
Primary practice address
308 S Bolivar Ave
Cleveland MS 38732-3244
Phone: (662) 843-2339
Fax: (662) 846-1397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S2937 | Mississippi |
Profile Details
| NPI number | 1619025459 |
|---|---|
| LBN Legal business name | Krutz, Jennifer K |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619025459 | NPPES |
| Mississippi | MEDICAID | 09070080 |
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