Knickrehm, Staci Fleischer
Knickrehm, Staci Fleischer is an sole proprietor health care provider with primary practice located at 2789 Ortiz Ave , Fort Myers FL 33905-7806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Knickrehm, Staci Fleischer can be contacted via phone (239) 275-3222.Contact Information
Primary practice address
2789 Ortiz Ave
Fort Myers FL 33905-7806
Phone: (239) 275-3222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | L0343 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | OS9757 | Florida |
Profile Details
| NPI number | 1588601132 |
|---|---|
| LBN Legal business name | Knickrehm, Staci Fleischer |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588601132 | NPPES |
| Texas | MEDICAID | 042979703 |
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