Knutson, Timothy Lawrence

Knutson, Timothy Lawrence is an sole proprietor health care provider with primary practice located at 3875 E Southcross Blvd Suite C, San Antonio TX 78222-3521. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Knutson, Timothy Lawrence can be contacted via phone (210) 333-7405.

Contact Information

Primary practice address
3875 E Southcross Blvd Suite C San Antonio TX 78222-3521
Phone: (210) 333-7405
Fax: (210) 333-7451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0764 Texas

Profile Details

NPI number 1497878201
LBN Legal business name Knutson, Timothy Lawrence
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2007
Last updated Jun 19th, 2008 - about 18 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 1497878201 NPPES
Texas MEDICAID 018799901

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