Karr, Jennifer M

Karr, Jennifer M is an individual health care provider with primary practice located at 3717 Nameoki Rd Suite B, Granite City IL 62040-3720. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Karr, Jennifer M can be contacted via phone (618) 876-2438.

Contact Information

Primary practice address
3717 Nameoki Rd Suite B Granite City IL 62040-3720
Phone: (618) 876-2438
Fax: (618) 876-2440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009717 Illinois

Profile Details

NPI number 1780786046
LBN Legal business name Karr, Jennifer M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 28th, 2008 - about 17 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 1780786046 NPPES
Illinois Other 214954 MEDICARE GROUP PIN
Illinois MEDICAID 046009717 MEDICARE GROUP PIN

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