Knuth, John Gerard
Knuth, John Gerard is an individual health care provider with primary practice located at 535 South Monroe Avenue , Green Bay WI 54301-4096. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Knuth, John Gerard can be contacted via phone (920) 435-9511.Contact Information
Primary practice address
535 South Monroe Avenue
Green Bay WI 54301-4096
Phone: (920) 435-9511
Fax: (920) 435-9383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2308 | Wisconsin |
Profile Details
| NPI number | 1396715173 |
|---|---|
| LBN Legal business name | Knuth, John Gerard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1396715173 | NPPES |
| Wisconsin | MEDICAID | 38581000 | |
| Wisconsin | Other | 053309 |
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