Knowlton, Alisa Ann
Knowlton, Alisa Ann is an individual health care provider with primary practice located at 390 N Main St , Bountiful UT 84010-6046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Knowlton, Alisa Ann can be contacted via phone (801) 294-1020.Contact Information
Primary practice address
390 N Main St
Bountiful UT 84010-6046
Phone: (801) 294-1020
Fax: (801) 292-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3615541205 | Utah |
Profile Details
| NPI number | 1124073556 |
|---|---|
| LBN Legal business name | Knowlton, Alisa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jun 26th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124073556 | NPPES |
| Utah | MEDICAID | 942854057086 |
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