Knickerbocker, Amy Joanne
Knickerbocker, Amy Joanne is an sole proprietor health care provider with primary practice located at 3650 Stardust Drive , Hannibal MO 63401. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Knickerbocker, Amy Joanne can be contacted via phone (573) 406-1503.Contact Information
Primary practice address
3650 Stardust Drive
Hannibal MO 63401
Phone: (573) 406-1503
Fax: (573) 406-1057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 200143624 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009247 | Illinois |
Profile Details
| NPI number | 1578517306 |
|---|---|
| LBN Legal business name | Knickerbocker, Amy Joanne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 25th, 2014 - about 10 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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