Knickerbocker, Pamela Rose

Knickerbocker, Pamela Rose is an individual health care provider with primary practice located at 1006 W Pleasant St , Avon Park FL 33825-2966. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Knickerbocker, Pamela Rose can be contacted via phone (863) 453-3121.

Contact Information

Primary practice address
1006 W Pleasant St Avon Park FL 33825-2966
Phone: (863) 453-3121
Fax: (863) 452-2823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A2012777 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS19486 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4409 Oklahoma

Profile Details

NPI number 1164561353
LBN Legal business name Knickerbocker, Pamela Rose
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Feb 16th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164561353 NPPES
Oklahoma MEDICAID 200182150A

Popular Providers