Listenberger, Jennifer Renee

Listenberger, Jennifer Renee is an individual health care provider with primary practice located at 1044 N Mason Rd Dept Otolaryngology, Ste L20, Creve Coeur MO 63141-6431. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Listenberger, Jennifer Renee can be contacted via phone (314) 362-7509.

Contact Information

Primary practice address
1044 N Mason Rd Dept Otolaryngology, Ste L20 Creve Coeur MO 63141-6431
Phone: (314) 362-7509
Fax: (314) 362-7522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2000166893 Missouri

Profile Details

NPI number 1740474055
LBN Legal business name Listenberger, Jennifer Renee
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Apr 25th, 2024 - about 8 months 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 1740474055 NPPES
Missouri MEDICAID 339339707

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