Knuckles, Gwendolyn
Knuckles, Gwendolyn is an individual health care provider with primary practice located at 2317A Executive Park Circle , Greenville NC 27834. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Knuckles, Gwendolyn can be contacted via phone (252) 830-1035.Contact Information
Primary practice address
2317A Executive Park Circle
Greenville NC 27834
Phone: (252) 830-1035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9501300 | North Carolina |
Profile Details
| NPI number | 1043253677 |
|---|---|
| LBN Legal business name | Knuckles, Gwendolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043253677 | NPPES |
| North Carolina | MEDICAID | 8949904 | |
| North Carolina | Other | 770605415 |
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