Knierim, Gerald

Knierim, Gerald is an sole proprietor health care provider with primary practice located at 635 N Erie St Attn Billing, Kathy, Toledo OH 43604. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Knierim, Gerald can be contacted via phone (419) 213-4049.

Contact Information

Primary practice address
635 N Erie St Attn Billing, Kathy Toledo OH 43604
Fax: (419) 213-4017
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Ohio

Profile Details

NPI number 1679551774
LBN Legal business name Knierim, Gerald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Jul 9th, 2007 - about 17 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 1679551774 NPPES
Ohio MEDICAID 0338521

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