Croft, Jennifer
Croft, Jennifer is an individual health care provider with primary practice located at 3821 Veterans Memorial Pkwy , O Fallon MO 63376-6416. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Croft, Jennifer can be contacted via phone (636) 928-1111.Contact Information
Primary practice address
3821 Veterans Memorial Pkwy
O Fallon MO 63376-6416
Phone: (636) 928-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2019023362 | Missouri |
Profile Details
| NPI number | 1033647425 |
|---|---|
| LBN Legal business name | Croft, Jennifer |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2017 |
| Last updated | Oct 25th, 2021 - about 3 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 | 1033647425 | NPPES |
| Missouri | MEDICAID | 1033647425 |
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