Knight, Carmen M
Knight, Carmen M is an sole proprietor health care provider with primary practice located at 1926 Woodland Lake Pass , Fort Wayne IN 46825-7210. She recently has 2 registered licenses in different health care specialties including Suppliers / Department of Veterans Affairs (VA) Pharmacy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Knight, Carmen M can be contacted via phone (661) 565-5368.Contact Information
Primary practice address
1926 Woodland Lake Pass
Fort Wayne IN 46825-7210
Phone: (661) 565-5368
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Department of Veterans Affairs (VA) Pharmacy | 332100000X | 91225 | Indiana |
| Pharmacy Service Providers / Pharmacist | 183500000X | 2114 | Puerto Rico |
Profile Details
| NPI number | 1306070909 |
|---|---|
| LBN Legal business name | Knight, Carmen M |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2009 |
| Last updated | Jul 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306070909 | NPPES |
| Indiana | Other | 26023926A | STATE LICENSE |
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