Knirk, Jerry L

Knirk, Jerry L is an individual health care provider with primary practice located at 7 Greenwood Ave , Conway NH 03818-6130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Knirk, Jerry L can be contacted via phone (603) 447-3500.

Contact Information

Primary practice address
7 Greenwood Ave Conway NH 03818-6130
Phone: (603) 447-3500
Fax: (603) 447-5568
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 51343 Massachusetts

Profile Details

NPI number 1922163476
LBN Legal business name Knirk, Jerry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Dec 27th, 2011 - about 14 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 1922163476 NPPES
Massachusetts Other 3314165-002 CIGNA
Massachusetts MEDICAID 6174132 CIGNA
Massachusetts Other B141 CIGNA
Massachusetts Other 0014426 CIGNA
Massachusetts Other 702853 CIGNA

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