Krivetzky, Joann

Krivetzky, Joann is an individual health care provider with primary practice located at 4256 Fulton Dr Nw Ste B, Canton OH 44718-2879. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Krivetzky, Joann can be contacted via phone (330) 546-0751.

Contact Information

Primary practice address
4256 Fulton Dr Nw Ste B Canton OH 44718-2879
Fax: (330) 956-5237
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35072306K Ohio
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 35-072306K Ohio

Profile Details

NPI number 1922017607
LBN Legal business name Krivetzky, Joann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated May 24th, 2012 - about 12 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 1922017607 NPPES
Other 1790070191 GROUP NPI
MEDICAID 2025098 GROUP NPI

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