Kneibert Clinic Llc
LBN: Kneibert Clinic Llc
Kneibert Clinic Llc is an health care organization with primary practice located at 686 Lester St , Poplar Bluff MO 63901. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Kneibert Clinic Llc can be contacted via phone (573) 686-2411, or through Christian, Robert E via phone (573) 778-7210.
Contact Information
Primary practice address
686 Lester St
Poplar Bluff MO 63901
Phone: (573) 686-2411
Fax: (573) 686-8452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1104804699 |
|---|---|
| LBN Legal business name | Kneibert Clinic Llc |
| DBA Doing business as | |
| Authorized official | Christian, Robert E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Mar 22nd, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104804699 | NPPES |
| Arkansas | MEDICAID | 107927002 | |
| Arkansas | MEDICAID | 500295407 |
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