Iwans, Jennifer Alida

Iwans, Jennifer Alida is an individual health care provider with primary practice located at 55 Calvin St , West Springfield MA 01089-2859. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Iwans, Jennifer Alida can be contacted via phone (413) 363-3004.

Contact Information

Primary practice address
55 Calvin St West Springfield MA 01089-2859
Phone: (413) 363-3004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1124430632
LBN Legal business name Iwans, Jennifer Alida
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2014
Last updated Jun 2nd, 2014 - about 11 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 1124430632 NPPES
Massachusetts Other 101Y00000X COUNSELOR- USE FOR BA STAFF

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