Knisely, Thomas Fritz

Knisely, Thomas Fritz is an individual health care provider with primary practice located at 514 Adams St , Radford VA 24142-6899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Knisely, Thomas Fritz can be contacted via phone (540) 831-6667.

Contact Information

Primary practice address
514 Adams St Radford VA 24142-6899
Phone: (540) 831-6667
Fax: (540) 831-6638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102201867 Virginia

Profile Details

NPI number 1447286265
LBN Legal business name Knisely, Thomas Fritz
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 7th, 2023 - about 2 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 1447286265 NPPES
Virginia MEDICAID 010280745
Virginia MEDICAID 010280770

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