Knebel, Brian Michael

Knebel, Brian Michael is an sole proprietor health care provider with primary practice located at 1205 W Ferdon St , Litchfield IL 62056-4454. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Knebel, Brian Michael can be contacted via phone (217) 324-6197.

Contact Information

Primary practice address
1205 W Ferdon St Litchfield IL 62056-4454
Phone: (217) 324-6197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051288337 Illinois

Profile Details

NPI number 1699374140
LBN Legal business name Knebel, Brian Michael
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2020
Last updated Oct 25th, 2020 - about 6 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 1699374140 NPPES
Illinois MEDICAID 1841217114

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