Fred R Knickerbocker in Bristol - Orthopaedic Surgery
Fred R Knickerbocker - NPI 1588609242
Fred R Knickerbocker is a Orthopaedic Surgery in Bristol, Tennessee. Fred R Knickerbocker practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Fred R Knickerbocker is 1588609242. The last update date is 2008-03-24.
Fred R Knickerbocker's current location address is 260 Midway Medical Park, Bristol, Tennessee. You can contact this provider via phone number 4239684446 and fax number 4239684802. The mailing address for Fred R Knickerbocker is 260 Midway Medical Park, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred R Knickerbocker |
|---|---|
| Address | 260 Midway Medical Park, Bristol, Tennessee |
| Phone Number | 4239684446 |
| Fax Number | 4239684802 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588609242 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2008-03-24 |
Provider Mailing Address Detail
| Address | 260 Midway Medical Park |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 376201721 |
| Phone Number | 4239684446 |
| Fax Number | 4239684802 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 10490 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3164215 | TN | -- | |
| 6404766 | VA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fred R Knickerbocker?
The Fred R Knickerbocker has been issued the NPI (National Provider Identifier) 1588609242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Fred R Knickerbocker's physical address?
The Fred R Knickerbocker is physically located at 260 Midway Medical Park, in the city of Bristol, TN, with the postal code 376201721.
What is Fred R Knickerbocker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fred R Knickerbocker is Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207X00000X.
On what date did the Fred R Knickerbocker receive the assignment of its 1588609242 from the Centers for Medicare & Medicaid Services?
The Fred R Knickerbocker was issued its 1588609242 by the Centers for Medicare & Medicaid Services on 2006-06-18.
As of what date was the information pertaining to Fred R Knickerbocker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fred R Knickerbocker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-24.
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