Knierim, Erin Ambrose

Knierim, Erin Ambrose is an individual health care provider with primary practice located at 3036 W Sylvania Ave , Toledo OH 43613-4128. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Knierim, Erin Ambrose can be contacted via phone (419) 474-0733.

Contact Information

Primary practice address
3036 W Sylvania Ave Toledo OH 43613-4128
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 30-022954 Ohio

Profile Details

NPI number 1669601340
LBN Legal business name Knierim, Erin Ambrose
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Oct 28th, 2015 - about 9 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 1669601340 NPPES
Ohio MEDICAID 3116372

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