Young Knolle, Sue E

Young Knolle, Sue E is an individual health care provider with primary practice located at 515 S Capital Of Texas Hwy Ste 100, Austin TX 78746-4305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Young Knolle, Sue E can be contacted via phone (512) 472-4011.

Contact Information

Primary practice address
515 S Capital Of Texas Hwy Ste 100 Austin TX 78746-4305
Phone: (512) 472-4011
Fax: (512) 472-5057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D6220 Texas

Profile Details

NPI number 1043213721
LBN Legal business name Young Knolle, Sue E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 6th, 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 1043213721 NPPES
Texas MEDICAID ZOOOL63V8 MEDICAID NUMBER
Texas Other 1043213721 MEDICAID NUMBER
Texas Other 1154432508 MEDICAID NUMBER

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