Knutson, Mark Lee

Knutson, Mark Lee is an individual health care provider with primary practice located at 622 Main St , Cedar Falls IA 50613. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Knutson, Mark Lee can be contacted via phone (319) 266-1838.

Contact Information

Primary practice address
622 Main St Cedar Falls IA 50613
Phone: (319) 266-1838
Fax: (319) 268-1460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04494 Iowa

Profile Details

NPI number 1700986262
LBN Legal business name Knutson, Mark Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700986262 NPPES
Iowa MEDICAID 0122390

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