Knapp, Avery J

Knapp, Avery J is an individual health care provider with primary practice located at 524 Tintillo Hills , Guaynabo PR 00966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Knapp, Avery J can be contacted via phone (646) 623-1020.

Contact Information

Primary practice address
524 Tintillo Hills Guaynabo PR 00966
Phone: (646) 623-1020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E6198 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A104534 California

Profile Details

NPI number 1255594289
LBN Legal business name Knapp, Avery J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Feb 9th, 2024 - about 9 months 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 1255594289 NPPES
Arkansas MEDICAID 179157001
Arkansas MEDICAID 200251220A

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