Knapp, John A
Knapp, John A is an individual health care provider with primary practice located at 29751 Little Mack Ave Suite B, Roseville MI 48066-2238. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Knapp, John A can be contacted via phone (586) 415-6200.Contact Information
Primary practice address
29751 Little Mack Ave Suite B
Roseville MI 48066-2238
Phone: (586) 415-6200
Fax: (586) 415-6217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 051917 | Michigan |
Profile Details
| NPI number | 1811997216 |
|---|---|
| LBN Legal business name | Knapp, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Mar 11th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811997216 | NPPES |
| Michigan | Other | 0E061676161 | MEDICARE PROVIDER |
| Michigan | MEDICAID | 2745645 | MEDICARE PROVIDER |
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