Carruba, Jennifer Kristen

Carruba, Jennifer Kristen is an individual health care provider with primary practice located at 2260 Flat River Rd Unit 9 , Coventry RI 02816-8959. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Carruba, Jennifer Kristen can be contacted via phone (401) 385-9485.

Contact Information

Primary practice address
2260 Flat River Rd Unit 9 Coventry RI 02816-8959
Phone: (401) 385-9485
Fax: (401) 385-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT01547 Rhode Island

Profile Details

NPI number 1649834805
LBN Legal business name Carruba, Jennifer Kristen
Credentials LCMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2019
Last updated Apr 23rd, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649834805 NPPES
Rhode Island Other MT01547 RI MASSAGE LICENSE

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