Knotts, Gwendolyn K

Knotts, Gwendolyn K is an individual health care provider with primary practice located at 7675 Sterling Ave , San Bernardino CA 92410-4738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Knotts, Gwendolyn K can be contacted via phone (909) 381-8983.

Contact Information

Primary practice address
7675 Sterling Ave San Bernardino CA 92410-4738
Phone: (909) 381-8983
Fax: (909) 381-2933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN250278 California

Profile Details

NPI number 1972551497
LBN Legal business name Knotts, Gwendolyn K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 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 1972551497 NPPES
California MEDICAID RN250278

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