Kalisz, Jennifer Marie

Kalisz, Jennifer Marie is an sole proprietor health care provider with primary practice located at 2501 S Center St , Marshalltown IA 50158-4562. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kalisz, Jennifer Marie can be contacted via phone (641) 753-1289.

Contact Information

Primary practice address
2501 S Center St Marshalltown IA 50158-4562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1194348532
LBN Legal business name Kalisz, Jennifer Marie
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2020
Last updated May 22nd, 2024 - about 6 months 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 1194348532 NPPES
Iowa MEDICAID 0108560

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