Knierim, Timothy Henry

Knierim, Timothy Henry is an individual health care provider with primary practice located at 40 Medical Park Suite 401, Wheeling WV 26003-6392. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Knierim, Timothy Henry can be contacted via phone (304) 243-3880.

Contact Information

Primary practice address
40 Medical Park Suite 401 Wheeling WV 26003-6392
Fax: (304) 243-3895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21477 West Virginia

Profile Details

NPI number 1861493306
LBN Legal business name Knierim, Timothy Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861493306 NPPES
Ohio MEDICAID 2487232
Ohio Other 55035705700
Ohio MEDICAID 3810000145
Ohio Other 21477

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