Knoble, Stephen John

Knoble, Stephen John is an individual health care provider with primary practice located at 608 E Garfield Ave , Gettysburg SD 57442-1325. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Knoble, Stephen John can be contacted via phone (605) 765-2273.

Contact Information

Primary practice address
608 E Garfield Ave Gettysburg SD 57442-1325
Phone: (605) 765-2273
Fax: (605) 765-2273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0290 South Dakota

Profile Details

NPI number 1245230937
LBN Legal business name Knoble, Stephen John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 9th, 2007 - about 19 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 1245230937 NPPES
South Dakota Other S6960 BCBS GROUP #
South Dakota Other 57584 BCBS GROUP #
South Dakota Other 4997560 BCBS GROUP #
South Dakota Other 4997849 BCBS GROUP #
South Dakota MEDICAID 5350190 BCBS GROUP #
South Dakota MEDICAID 6822152 BCBS GROUP #

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