Stephen John Knoble in Gettysburg - Medical
Stephen John Knoble - NPI 1245230937
Stephen John Knoble is a Medical in Gettysburg, South Dakota. Stephen John Knoble practices all healthcare services and medical treatments related to Medical. The NPI Number for Stephen John Knoble is 1245230937. The last update date is 2007-07-09.
Stephen John Knoble's current location address is 306 S Broadway St, Gettysburg, South Dakota. You can contact this provider via phone number 6057652790 and fax number 6057652273. The mailing address for Stephen John Knoble is 306 S Broadway St, Gettysburg, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen John Knoble |
|---|---|
| Address | 306 S Broadway St, Gettysburg, South Dakota |
| Phone Number | 6057652790 |
| Fax Number | 6057652273 |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245230937 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 306 S Broadway St |
|---|---|
| City | Gettysburg |
| State | South Dakota (SD) |
| Post Code | 574421506 |
| Phone Number | 6057652790 |
| Fax Number | 6057652273 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 290 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| S6960 | SD | BCBS GROUP # | |
| 57584 | SD | MEDICARE B INDIVIDUAL # | |
| 4997560 | SD | INDIVIDUAL BCBS | |
| 4997849 | SD | GROUP BCBS | |
| 5350190 | SD | -- | |
| 6822152 | SD | -- |
Post Comment/ Review Below
What is the Stephen John Knoble's 1245230937?
The Stephen John Knoble's NPI (National Provider Identifier) Number is 1245230937. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephen John Knoble's physical address?
The Stephen John Knoble is physically located at 306 S Broadway St, in the city of Gettysburg, SD, with the postal code 574421506.
What is Stephen John Knoble's area of expertise and its corresponding taxonomy classification?
The Stephen John Knoble's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When did the Stephen John Knoble receive its 1245230937?
The Stephen John Knoble was issued its 1245230937 on 2005-07-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Stephen John Knoble, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen John Knoble, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.