Knapp, Marcus M

Knapp, Marcus M is an individual health care provider with primary practice located at 19320 Us Route 11 Bldg Iii , Watertown NY 13601-5337. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Knapp, Marcus M can be contacted via phone (315) 786-0254.

Contact Information

Primary practice address
19320 Us Route 11 Bldg Iii Watertown NY 13601-5337
Phone: (315) 786-0254
Fax: (315) 785-3647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0090201 New York

Profile Details

NPI number 1861429995
LBN Legal business name Knapp, Marcus M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jan 22nd, 2021 - about 3 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 1861429995 NPPES
New York MEDICAID 02429885

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