Knutson, Thomas R.
Knutson, Thomas R. is an individual health care provider with primary practice located at 1955 Citracado Pkwy Suite 200, Escondido CA 92029-4110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Knutson, Thomas R. can be contacted via phone (760) 743-4789.Contact Information
Primary practice address
1955 Citracado Pkwy Suite 200
Escondido CA 92029-4110
Phone: (760) 743-4789
Fax: (760) 743-4779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G50268 | California |
Profile Details
| NPI number | 1962409938 |
|---|---|
| LBN Legal business name | Knutson, Thomas R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Mar 24th, 2016 - about 10 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 | 1962409938 | NPPES |
| California | Other | G50268 | MEDICAL LICENSE |
| California | Other | 1962409938 | MEDICAL LICENSE |
| California | MEDICAID | 1962409938 | MEDICAL LICENSE |
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