Jubulis, Jennifer Klotz

Jubulis, Jennifer Klotz is an individual health care provider with primary practice located at 887 Congress St Suite 320, Portland ME 04102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Jubulis, Jennifer Klotz can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Suite 320 Portland ME 04102
Phone: (207) 662-5522
Fax: (207) 662-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0068961 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19415 Maine
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD19415 Maine

Profile Details

NPI number 1457489742
LBN Legal business name Jubulis, Jennifer Klotz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Oct 8th, 2012 - about 12 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 1457489742 NPPES
Maryland MEDICAID 332504100

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