Knittel, Rose
Knittel, Rose is an individual health care provider with primary practice located at 165 Capitol Ave Po Box 150469-1172, Hartford CT 06106-1659. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Knittel, Rose can be contacted via phone (860) 380-5150.Contact Information
Primary practice address
165 Capitol Ave Po Box 150469-1172
Hartford CT 06106-1659
Phone: (860) 380-5150
Fax: (860) 726-2230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ML60661994 | Washington |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | MD60876085 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60876085 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 75693 | Connecticut |
Profile Details
| NPI number | 1942657671 |
|---|---|
| LBN Legal business name | Knittel, Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2016 |
| Last updated | May 10th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942657671 | NPPES |
| Washington | Other | 01414618 | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 2059441 | LABOR AND INDUSTRIES |
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