Knoblauch, Gregory M.

Knoblauch, Gregory M. is an individual health care provider with primary practice located at 10100 E Shannon Woods St Suite 100, Wichita KS 67226-4104. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Knoblauch, Gregory M. can be contacted via phone (316) 219-8299.

Contact Information

Primary practice address
10100 E Shannon Woods St Suite 100 Wichita KS 67226-4104
Phone: (316) 219-8299
Fax: (316) 219-5899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-00484 Kansas

Profile Details

NPI number 1902844483
LBN Legal business name Knoblauch, Gregory M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 6th, 2017 - about 9 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 1902844483 NPPES
Kansas Other 042940 BLUE SHIELD
Kansas MEDICAID 100357590C BLUE SHIELD
Kansas Other 662341 BLUE SHIELD
Kansas Other 970028120 BLUE SHIELD
Kansas Other 4840 BLUE SHIELD

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