Healthcare Provider Details

I. General information

NPI: 1528661303
Provider Name (Legal Business Name): VERONIKA H KNAPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5705 SANDUSKY RD
LIMA OH
45801-8739
US

IV. Provider business mailing address

5705 SANDUSKY RD
LIMA OH
45801-8739
US

V. Phone/Fax

Practice location:
  • Phone: 141-930-3607
  • Fax:
Mailing address:
  • Phone: 141-930-3607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: