Marc Douglas Knepp in Peoria - Student In An Organized Health Care Education/training Program
Marc Douglas Knepp - NPI 1568686277
Marc Douglas Knepp is a Student In An Organized Health Care Education/training Program in Peoria, Illinois. Marc Douglas Knepp practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Marc Douglas Knepp is 1568686277. The last update date is 2022-11-11.
Marc Douglas Knepp's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553456 and fax number 3096553410. The mailing address for Marc Douglas Knepp is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Douglas Knepp |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553456 |
| Fax Number | 3096553410 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568686277 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2022-11-11 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033105 |
| Phone Number | 3096553456 |
| Fax Number | 3096553410 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | 4301083662 |
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Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Post Comment/ Review Below
What is the Marc Douglas Knepp's unique identification number?
The Marc Douglas Knepp has been assigned the NPI (National Provider Identifier) Number 1568686277 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Marc Douglas Knepp's facilities are situated?
The facilities of Marc Douglas Knepp are physically located at the following address: 420 Ne Glen Oak Ave, Peoria, IL, 616033105.
What is Marc Douglas Knepp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marc Douglas Knepp is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.
On what date did the Marc Douglas Knepp receive its 1568686277 assignment from the Centers for Medicare & Medicaid Services?
The Marc Douglas Knepp was assigned its 1568686277 by the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date was the information regarding Marc Douglas Knepp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marc Douglas Knepp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-11.