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NPI Code Detail

MEDICARE: JEANETTE MARIE KNIPFER

MEDICARE: JEANETTE MARIE KNIPFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1356110514
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE MARIE KNIPFER
Provider Business Mailing Address
First Line : 660 S MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-2708
Country : US
Telephone Number : 937-510-2507
Fax Number :
Provider Business Practice Location Address
First Line : 660 S MAIN ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-2708
Country : US
Telephone Number : 937-510-2507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2023
Last Update Date : 01/20/2026

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Directions to “ JEANETTE MARIE KNIPFER ” Practice Location

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