Krause, Jennifer

Krause, Jennifer is an individual health care provider with primary practice located at 3348 American Ave , Jefferson City MO 65109-1079. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Krause, Jennifer can be contacted via phone (573) 761-7210.

Contact Information

Primary practice address
3348 American Ave Jefferson City MO 65109-1079
Phone: (573) 761-7210
Fax: (573) 634-8802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2003010048 Missouri

Profile Details

NPI number 1255361036
LBN Legal business name Krause, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 15th, 2020 - about 4 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 1255361036 NPPES
Missouri MEDICAID 208748400

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