Knapp, Blake Edward

Knapp, Blake Edward is an individual health care provider with primary practice located at 225 N Elm St , Centralia IL 62801-3248. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Knapp, Blake Edward can be contacted via phone (618) 533-5395.

Contact Information

Primary practice address
225 N Elm St Centralia IL 62801-3248
Phone: (618) 533-5395
Fax: (618) 533-5506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.292069 Illinois

Profile Details

NPI number 1144503780
LBN Legal business name Knapp, Blake Edward
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2011
Last updated Sep 20th, 2011 - about 13 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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