Knobloch, Stephanie Joy

Knobloch, Stephanie Joy is an individual health care provider with primary practice located at 400 E 1St St , Morris MN 56267-1408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Knobloch, Stephanie Joy can be contacted via phone (320) 589-1313.

Contact Information

Primary practice address
400 E 1St St Morris MN 56267-1408
Phone: (320) 589-1313
Fax: (320) 589-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R1437614 Minnesota

Profile Details

NPI number 1043310386
LBN Legal business name Knobloch, Stephanie Joy
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 4th, 2022 - about 4 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 1043310386 NPPES
Minnesota MEDICAID 163418600
Minnesota Other 291G2KN
Minnesota Other P00297701

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