Knoll, John

Knoll, John is an individual health care provider with primary practice located at 582 Central Ave , East Orange NJ 07018-1936. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Knoll, John can be contacted via phone (973) 674-3808.

Contact Information

Primary practice address
582 Central Ave East Orange NJ 07018-1936
Fax: (973) 674-3943
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1807 New Jersey

Profile Details

NPI number 1538371273
LBN Legal business name Knoll, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 9th, 2007 - about 17 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 1538371273 NPPES
New Jersey MEDICAID 6012809

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