Knabel, Mark Raymond

Knabel, Mark Raymond is an individual health care provider with primary practice located at 1500 Delhi St Ste 4100, Dubuque IA 52001-6358. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Other Service Providers / Specialist is his primary health care specialty. Knabel, Mark Raymond can be contacted via phone (563) 557-5900.

Contact Information

Primary practice address
1500 Delhi St Ste 4100 Dubuque IA 52001-6358
Phone: (563) 557-5900
Fax: (563) 557-5905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22086 Iowa
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24706-20 Wisconsin

Profile Details

NPI number 1598732489
LBN Legal business name Knabel, Mark Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 12th, 2012 - about 13 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 1598732489 NPPES
Iowa MEDICAID 0263558
Iowa Other 1598732489
Iowa Other 386682104
Iowa Other 421462387
Iowa Other 13070
Iowa Other IA0107
Iowa Other 55736

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