Knackstedt, Thomas J

Knackstedt, Thomas J is an individual health care provider with primary practice located at 1006 Procure St Ste 100 , Fuquay Varina NC 27526-2627. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Knackstedt, Thomas J can be contacted via phone (919) 762-6845.

Contact Information

Primary practice address
1006 Procure St Ste 100 Fuquay Varina NC 27526-2627
Phone: (919) 762-6845
Fax: (919) 762-6865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2022-01519 North Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 2022-01519 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2022-01519 North Carolina

Profile Details

NPI number 1447545603
LBN Legal business name Knackstedt, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jul 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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