Krzewina, Jennifer M

Krzewina, Jennifer M is an sole proprietor health care provider with primary practice located at 7236 Forestview Ln N , Maple Grove MN 55369-5656. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Krzewina, Jennifer M can be contacted via phone (612) 599-5197.

Contact Information

Primary practice address
7236 Forestview Ln N Maple Grove MN 55369-5656
Phone: (612) 599-5197
Fax: (763) 657-1735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1669816179
LBN Legal business name Krzewina, Jennifer M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2013
Last updated Apr 26th, 2013 - about 11 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 1669816179 NPPES
Minnesota MEDICAID 1184920753

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