Kmieczak, Jennifer

Kmieczak, Jennifer is an individual health care provider with primary practice located at 142 Engle St , Englewood NJ 07631-2507. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kmieczak, Jennifer can be contacted via phone (201) 568-0033.

Contact Information

Primary practice address
142 Engle St Englewood NJ 07631-2507
Phone: (201) 568-0033
Fax: (201) 568-3453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD02491 New Jersey

Profile Details

NPI number 1497798953
LBN Legal business name Kmieczak, Jennifer
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 15th, 2011 - about 13 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 1497798953 NPPES
New Jersey MEDICAID 8151105

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