Kneiser, Mary Kathleen

Kneiser, Mary Kathleen is an sole proprietor health care provider with primary practice located at 22030 Mack Ave , Saint Clair Shores MI 48080-2369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kneiser, Mary Kathleen can be contacted via phone (586) 443-5686.

Contact Information

Primary practice address
22030 Mack Ave Saint Clair Shores MI 48080-2369
Phone: (586) 443-5686
Fax: (586) 443-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301051497 Michigan

Profile Details

NPI number 1366487761
LBN Legal business name Kneiser, Mary Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Apr 7th, 2009 - about 16 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 1366487761 NPPES
Michigan Other 383581109 TAX ID

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