Knapp, Edson L.

Knapp, Edson L. is an individual health care provider with primary practice located at 4300 Bartlett St , Homer AK 99603-7005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Knapp, Edson L. can be contacted via phone (907) 235-0326.

Contact Information

Primary practice address
4300 Bartlett St Homer AK 99603-7005
Phone: (907) 235-0326
Fax: (907) 235-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101238749 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47265 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 103509 Alaska

Profile Details

NPI number 1609854173
LBN Legal business name Knapp, Edson L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jun 17th, 2016 - about 8 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 1609854173 NPPES
West Virginia MEDICAID 3810004714
West Virginia Other 185560
West Virginia Other P00274027
West Virginia MEDICAID 010216958

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