Knapp, Stacey D

Knapp, Stacey D is an individual health care provider with primary practice located at 3500 Nw 56Th St # Sreet100 , Oklahoma City OK 73112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Knapp, Stacey D can be contacted via phone (405) 951-2855.

Contact Information

Primary practice address
3500 Nw 56Th St # Sreet100 Oklahoma City OK 73112
Fax: (405) 951-2858
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3962 Oklahoma

Profile Details

NPI number 1104826569
LBN Legal business name Knapp, Stacey D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 2nd, 2018 - about 8 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 1104826569 NPPES
Oklahoma MEDICAID 200035270A

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