Knepp, Marc Douglas

Knepp, Marc Douglas is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Suite 301, Peoria IL 61603-3105. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Knepp, Marc Douglas can be contacted via phone (309) 655-3456.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Suite 301 Peoria IL 61603-3105
Phone: (309) 655-3456
Fax: (309) 655-3410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301083662 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301083662 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301083662 Michigan
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036-129846 Illinois

Profile Details

NPI number 1568686277
LBN Legal business name Knepp, Marc Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Nov 11th, 2022 - about 2 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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