Krizek, Jaclyn
Krizek, Jaclyn is an sole proprietor health care provider with primary practice located at 5006 Main St , Downers Grove IL 60515-3643. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Krizek, Jaclyn can be contacted via phone (630) 442-0167.Contact Information
Primary practice address
5006 Main St
Downers Grove IL 60515-3643
Phone: (630) 442-0167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 198001375 | Illinois |
Profile Details
| NPI number | 1588279178 |
|---|---|
| LBN Legal business name | Krizek, Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2020 |
| Last updated | Sep 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588279178 | NPPES |
| Illinois | Other | 198001375 | IDFPR |
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