Gerald L Knouf Md Pa

LBN: Gerald L Knouf Md Pa
Gerald L Knouf Md Pa is an health care organization with primary practice located at 190 W Burnside Ave Ste C, Chubbuck ID 83202-2411. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Gerald L Knouf Md Pa can be contacted via phone (208) 023-8040, or through Knouf, Gerald L via phone (208) 238-0400.

Contact Information

Primary practice address
190 W Burnside Ave Ste C Chubbuck ID 83202-2411
Fax: (208) 238-0401
Website:
Authorized official contact:
Name: Knouf, Gerald L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1831326289
LBN Legal business name Gerald L Knouf Md Pa
DBA Doing business as
Authorized official Knouf, Gerald L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2009
Last updated Dec 8th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831326289 NPPES
Idaho Other 11043901 MEDICARE PTAN

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