Knackendoffel, Richard Alan

Knackendoffel, Richard Alan is an individual health care provider with primary practice located at 2373 G Rd Suite 100, Grand Junction CO 81505-9641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Knackendoffel, Richard Alan can be contacted via phone (970) 245-0484.

Contact Information

Primary practice address
2373 G Rd Suite 100 Grand Junction CO 81505-9641
Phone: (970) 245-0484
Fax: (970) 241-2803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28231 Colorado

Profile Details

NPI number 1609823202
LBN Legal business name Knackendoffel, Richard Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Sep 23rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609823202 NPPES
Colorado MEDICAID 01282318

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