Knight, Carmen M

Knight, Carmen M is an sole proprietor health care provider with primary practice located at 1926 Woodland Lake Pass , Fort Wayne IN 46825-7210. She recently has 2 registered licenses in different health care specialties including Suppliers / Department of Veterans Affairs (VA) Pharmacy, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Knight, Carmen M can be contacted via phone (661) 565-5368.

Contact Information

Primary practice address
1926 Woodland Lake Pass Fort Wayne IN 46825-7210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Department of Veterans Affairs (VA) Pharmacy 332100000X 91225 Indiana
Pharmacy Service Providers / Pharmacist 183500000X 2114 Puerto Rico

Profile Details

NPI number 1306070909
LBN Legal business name Knight, Carmen M
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2009
Last updated Jul 22nd, 2020 - about 5 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 1306070909 NPPES
Indiana Other 26023926A STATE LICENSE

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