Krohn, Jacqueline Anne
Krohn, Jacqueline Anne is an sole proprietor health care provider with primary practice located at 3917 West Rd Suite 136, Los Alamos NM 87544-2275. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Krohn, Jacqueline Anne can be contacted via phone (505) 662-9620.Contact Information
Primary practice address
3917 West Rd Suite 136
Los Alamos NM 87544-2275
Phone: (505) 662-9620
Fax: (505) 662-0024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 79195 | New Mexico |
Profile Details
| NPI number | 1942290283 |
|---|---|
| LBN Legal business name | Krohn, Jacqueline Anne |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Aug 16th, 2007 - about 18 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 | 1942290283 | NPPES |
| New Mexico | MEDICAID | 11783 |
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