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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336456409 | NPPES |
| Other | 10030014 | NORTH AMERICAN REGISTRY OF MIDWIVES - CERTIFIED PROFESSIONAL MIDWIFE CERT # |
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