Laureen S Knuteson in Bloomington - Physician Assistant

Laureen S Knuteson - NPI 1326096124

Laureen S Knuteson is a Physician Assistant in Bloomington, Indiana. Laureen S Knuteson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Laureen S Knuteson is 1326096124. The last update date is 2019-07-30.

Laureen S Knuteson's current location address is 707 W 2nd St, Bloomington, Indiana. You can contact this provider via phone number 8123345081 and fax number 8123345091. The mailing address for Laureen S Knuteson is 707 W 2nd St, Bloomington, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Laureen S Knuteson
Address 707 W 2nd St, Bloomington, Indiana
Phone Number 8123345081
Fax Number 8123345091
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1326096124
Provider Enumeration Date 2006-05-04
Last Updated Date 2019-07-30

Provider Mailing Address Detail

Address 707 W 2nd St
City Bloomington
State Indiana (IN)
Post Code 474032209
Phone Number 8123345081
Fax Number 8123345091

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1105-023
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42980300 WI --

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FAQs about Laureen S Knuteson

What is the Laureen S Knuteson's 1326096124?

The Laureen S Knuteson's NPI (National Provider Identifier) Number is 1326096124. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Laureen S Knuteson's facilities are situated?

The facilities of Laureen S Knuteson are physically located at the following address: 707 W 2Nd St, Bloomington, IN, 474032209.

What is the area of specialization for Laureen S Knuteson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Laureen S Knuteson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1326096124 to Laureen S Knuteson?

The Centers for Medicare & Medicaid Services originally issued the 1326096124 to Laureen S Knuteson on 2006-05-04.

As of what date were the details related to Laureen S Knuteson most recently updated or revised?

The information pertaining to Laureen S Knuteson, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-30.

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