Knowles, David R
Knowles, David R is an sole proprietor health care provider with primary practice located at 4109 S Water Tower Pl , Mount Vernon IL 62864-6293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Knowles, David R can be contacted via phone (618) 244-4060.Contact Information
Primary practice address
4109 S Water Tower Pl
Mount Vernon IL 62864-6293
Phone: (618) 244-4060
Fax: (618) 205-5817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036114878 | Illinois |
Profile Details
| NPI number | 1881699908 |
|---|---|
| LBN Legal business name | Knowles, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Apr 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881699908 | NPPES |
| Illinois | Other | DE2609 | RAILROAD |
| Illinois | MEDICAID | 036114878 | RAILROAD |
Popular Providers
-
Lee, Ronald D
1660 Feehanville Dr Ste 200 , Mount Prospect IL 60056-6036 -
Shah, Adit
8 Doctors Park Rd , Mount Vernon IL 62864-6224 -
Tiplitsky, Scott I
1660 Feehanville Dr Ste 200 , Mount Prospect IL 60056-6036 -
Norris, Jeffrey P
1660 Feehanville Dr Ste 200 , Mount Prospect IL 60056-6036 -
Kasraeian, Ahmad
6269 Beach Blvd Ste 2, Jacksonville FL 32216-2705 -
Reagan, Gary M
209 Crossroads Pl Suite 110, Mount Vernon IL 62864-6254 -
Narepalem, Narendra
1660 Feehanville Dr Ste 200 , Mount Prospect IL 60056-6036 -
Gluckman, Gordon R
1660 Feehanville Dr Ste 200 , Mount Prospect IL 60056-6036