Knox, David R

Knox, David R is an individual health care provider with primary practice located at 2512 Hurst Dr. , Mattoon IL 61938-2500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Knox, David R can be contacted via phone (217) 258-5900.

Contact Information

Primary practice address
2512 Hurst Dr. Mattoon IL 61938-2500
Phone: (217) 258-5900
Fax: (217) 258-5904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036100522 Illinois

Profile Details

NPI number 1033222625
LBN Legal business name Knox, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 20th, 2015 - about 10 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 1033222625 NPPES
Illinois MEDICAID 036100522

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