Knutson, Jonathan Glyndon
Knutson, Jonathan Glyndon is an individual health care provider with primary practice located at 5630 S 84Th St Suite 120, Lincoln NE 68516-4427. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Knutson, Jonathan Glyndon can be contacted via phone (402) 488-2211.Contact Information
Primary practice address
5630 S 84Th St Suite 120
Lincoln NE 68516-4427
Phone: (402) 488-2211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1147 | Nebraska |
Profile Details
| NPI number | 1003800012 |
|---|---|
| LBN Legal business name | Knutson, Jonathan Glyndon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jul 20th, 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 | 1003800012 | NPPES |
| Nebraska | Other | 36755 | BCBS |
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