Knoll, Mark A
Knoll, Mark A is an sole proprietor health care provider with primary practice located at 11322 Q St , Omaha NE 68137-3679. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Knoll, Mark A can be contacted via phone (402) 339-9510.Contact Information
Primary practice address
11322 Q St
Omaha NE 68137-3679
Phone: (402) 339-9510
Fax: (402) 592-0316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 841 | Nebraska |
Profile Details
| NPI number | 1639128945 |
|---|---|
| LBN Legal business name | Knoll, Mark A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639128945 | NPPES |
| Nebraska | MEDICAID | 47068804800 |
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