National Provider Identifier Database

KNEIBERT CLINIC LLC
Rural Health


Contact Information

KNEIBERT CLINIC LLC
686 LESTER ST
POPLAR BLUFF, MO63901
Phone: 573-686-2411
Fax: 573-686-8452
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for KNEIBERT CLINIC LLC

NPI Number 1174501662
Legal business name
LBN
KNEIBERT CLINIC LLC
Authorized official ROBERT CHRISTIAN - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/04/2006
Last updated 10/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AR Medicaid: 149951729
  • MO Medicaid: 595929605

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KNEIBERT CLINIC LLC

There are currently no reviews for KNEIBERT CLINIC LLC


NPIdb - Home
v2.201