Knowles, Duane

Knowles, Duane is an individual health care provider with primary practice located at 140 W 5Th S , Bountiful UT 84010-6232. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Knowles, Duane can be contacted via phone (801) 292-0479.

Contact Information

Primary practice address
140 W 5Th S Bountiful UT 84010-6232
Phone: (801) 292-0479
Fax: (801) 292-7019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2773469934 Utah

Profile Details

NPI number 1306935523
LBN Legal business name Knowles, Duane
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Sep 19th, 2012 - about 12 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 1306935523 NPPES
Utah MEDICAID 1306935523
Utah Other 000009430
Utah Other 000009542
Utah Other 009037404
Utah Other 000090374
Utah Other 009602004

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