Krutz, Jennifer K

Krutz, Jennifer K is an sole proprietor health care provider with primary practice located at 308 S Bolivar Ave , Cleveland MS 38732-3244. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Krutz, Jennifer K can be contacted via phone (662) 843-2339.

Contact Information

Primary practice address
308 S Bolivar Ave Cleveland MS 38732-3244
Phone: (662) 843-2339
Fax: (662) 846-1397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2937 Mississippi

Profile Details

NPI number 1619025459
LBN Legal business name Krutz, Jennifer K
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619025459 NPPES
Mississippi MEDICAID 09070080

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