Kuckertz, Jennie

Kuckertz, Jennie is an individual health care provider with primary practice located at 115 Mill St , Belmont MA 02478-1064. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kuckertz, Jennie can be contacted via phone (617) 855-2962.

Contact Information

Primary practice address
115 Mill St Belmont MA 02478-1064
Phone: (617) 855-2962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11367 Massachusetts

Profile Details

NPI number 1174937692
LBN Legal business name Kuckertz, Jennie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Oct 28th, 2020 - about 6 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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