Scott Wayne Mcknight in Grand Rapids - Clinical
Scott Wayne Mcknight - NPI 1114126083
Scott Wayne Mcknight is a Clinical in Grand Rapids, Michigan. Scott Wayne Mcknight practices all healthcare services and medical treatments related to Clinical. The NPI Number for Scott Wayne Mcknight is 1114126083. The last update date is 2016-12-06.
Scott Wayne Mcknight's current location address is 648 Monroe Ave Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6169163711 and fax number 6168256015. The mailing address for Scott Wayne Mcknight is 648 Monroe Ave Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Wayne Mcknight |
|---|---|
| Address | 648 Monroe Ave Nw, Grand Rapids, Michigan |
| Phone Number | 6169163711 |
| Fax Number | 6168256015 |
| Sole Proprietor | Y |
| Credentials | LLMSW, MSW |
NPI Number Detail
| NPI Number | 1114126083 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2016-12-06 |
Provider Mailing Address Detail
| Address | 648 Monroe Ave Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495031452 |
| Phone Number | 6169163711 |
| Fax Number | 6168256015 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801089182 |
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What is the Scott Wayne Mcknight's unique identification number?
The Scott Wayne Mcknight has been assigned the NPI (National Provider Identifier) Number 1114126083 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Scott Wayne Mcknight's physical address?
The Scott Wayne Mcknight is physically located at 648 Monroe Ave Nw, in the city of Grand Rapids, MI, with the postal code 495031452.
What is the Scott Wayne Mcknight's specialty and taxonomy code?
The Scott Wayne Mcknight's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114126083 to Scott Wayne Mcknight?
The Scott Wayne Mcknight received its 1114126083 assignment from the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the information pertaining to Scott Wayne Mcknight most recently updated or revised?
The details related to Scott Wayne Mcknight, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-06.