Crystel D Knierim
Orthopaedic Surgeon
12349 De Paul Dr Ste 100
Bridgeton
, Missouri 63044-2512
Crystel D Knierim
Orthopaedic Surgeon
12349 De Paul Dr Ste 100
Bridgeton
, Missouri 63044-2512
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Crystel D Knierim
- Po Box 955534
- Saint Louis, MO
- Zip : 63195-5534
- Phone :
Second Address
- Crystel D Knierim
- 12349 De Paul Dr Ste 100
- Bridgeton, MO
- Zip : 63044-2512
- Phone : (314) 291-7900
Reviews
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Is Crystel D Knierim a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 2001023413 | MO |
National Provider Identifier
| NPI | 1023034857 |
|---|---|
| Provider Name | Crystel D Knierim |
| First Address | Saint Louis, MO 63195-5534 |
| Second Address | Bridgeton, MO 63044-2512 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 24/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 205739204 | (05) | MO |
| G71147 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.