Gary Knutson in Bloomington - Internist

Gary Knutson - NPI 1821196353

Gary Knutson is a Internist in Bloomington, Indiana. Gary Knutson practices all healthcare services and medical treatments related to Internist. The NPI Number for Gary Knutson is 1821196353. The last update date is 2008-01-09.

Gary Knutson's current location address is 840 W 17th St Ste 5, Bloomington, Indiana. You can contact this provider via phone number 8123395839. The mailing address for Gary Knutson is 840 W 17th St Ste 5, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Knutson
Address 840 W 17th St Ste 5, Bloomington, Indiana
Phone Number 8123395839
Fax Number
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1821196353
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-01-09

Provider Mailing Address Detail

Address 840 W 17th St Ste 5
City Bloomington
State Indiana (IN)
Post Code 474043379
Phone Number 8123395839
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internist
Taxonomy 111Ni0900X
Licence No 08000749A
Definition:
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
215982 IN BLUE CROSS/BLUE SHIELD

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FAQs about Gary Knutson

What is the Gary Knutson's unique identification number?

The Gary Knutson has been assigned the NPI (National Provider Identifier) Number 1821196353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Gary Knutson is physically located?

The Gary Knutson is physically situated at the following address: 840 W 17Th St Ste 5, Bloomington, IN, 474043379.

What is Gary Knutson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary Knutson is Internist, and the taxonomy code that categorizes this field of expertise is 111Ni0900X.

On what date did Gary Knutson receive its 1821196353 assignment from the Centers for Medicare & Medicaid Services?

The Gary Knutson was assigned its 1821196353 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gary Knutson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gary Knutson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-09.

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