Konkol, Jennifer Ann

Konkol, Jennifer Ann is an sole proprietor health care provider with primary practice located at 3271 Roger Pl , Saint Louis MO 63116-3838. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Konkol, Jennifer Ann can be contacted via phone (618) 610-4777.

Contact Information

Primary practice address
3271 Roger Pl Saint Louis MO 63116-3838
Phone: (618) 610-4777
Fax: (618) 462-0603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1336456409
LBN Legal business name Konkol, Jennifer Ann
Credentials CPM, CLC, BSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2010
Last updated Sep 9th, 2010 - about 16 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 1336456409 NPPES
Other 10030014 NORTH AMERICAN REGISTRY OF MIDWIVES - CERTIFIED PROFESSIONAL MIDWIFE CERT #

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