Knipmeyer, Joy Warner

Knipmeyer, Joy Warner is an individual health care provider with primary practice located at 500 E 22Nd St Suite A, Lombard IL 60148-6102. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Knipmeyer, Joy Warner can be contacted via phone (630) 620-8061.

Contact Information

Primary practice address
500 E 22Nd St Suite A Lombard IL 60148-6102
Phone: (630) 620-8061
Fax: (630) 916-7525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 36-039126 Illinois

Profile Details

NPI number 1750484663
LBN Legal business name Knipmeyer, Joy Warner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 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 1750484663 NPPES
Illinois MEDICAID 036-039-126

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