Edward J Knoll in Puyallup - Neuromusculoskeletal Medicine, Sports Medicine

Edward J Knoll - NPI 1033118054

Edward J Knoll is a Neuromusculoskeletal Medicine, Sports Medicine in Puyallup, Washington. Edward J Knoll practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Edward J Knoll is 1033118054. The last update date is 2007-07-08.

Edward J Knoll's current location address is 800 Meridian S, Puyallup, Washington. You can contact this provider via phone number 2538459511 and fax number 2538403513. The mailing address for Edward J Knoll is 800 Meridian S, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward J Knoll
Address 800 Meridian S, Puyallup, Washington
Phone Number 2538459511
Fax Number 2538403513
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1033118054
Provider Enumeration Date 2005-07-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 800 Meridian S
City Puyallup
State Washington (WA)
Post Code 983716995
Phone Number 2538459511
Fax Number 2538403513

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine, Sports Medicine
Taxonomy 204C00000X
Licence No MD00015770
Definition:
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
KN3909 WA REGENCE BLUESHEILD
164016 WA WORKERS COMPENSATION
8322133 WA --

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FAQs about Edward J Knoll

What is the unique 10-digit identifier code assigned to Edward J Knoll by the Centers for Medicare & Medicaid Services?

The Edward J Knoll has been issued the NPI (National Provider Identifier) 1033118054 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Edward J Knoll?

The Edward J Knoll is physically situated at 800 Meridian S, in the city of Puyallup, state of WA, with the postal code 983716995.

What is the Edward J Knoll's area of specialization and corresponding taxonomy classification?

The Edward J Knoll's specialty field is Neuromusculoskeletal Medicine, Sports Medicine, and it falls under the taxonomy code 204C00000X, which categorizes healthcare providers based on their specialties.

On what date did the Edward J Knoll receive the assignment of its 1033118054 from the Centers for Medicare & Medicaid Services?

The Edward J Knoll was issued its 1033118054 by the Centers for Medicare & Medicaid Services on 2005-07-20.

When was the Edward J Knoll's information last updated?

The Edward J Knoll's information was last updated on 2007-07-08.

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