Knudsen, Marc D.
Knudsen, Marc D. is an individual health care provider with primary practice located at 3300 Nw Expressway , Oklahoma City OK 73112-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Knudsen, Marc D. can be contacted via phone (405) 951-2541.Contact Information
Primary practice address
3300 Nw Expressway
Oklahoma City OK 73112-4418
Phone: (405) 951-2541
Fax: (405) 951-2237
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3859 | Oklahoma |
Profile Details
NPI number | 1235125683 |
---|---|
LBN Legal business name | Knudsen, Marc D. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2005 |
Last updated | Apr 9th, 2021 - about 4 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 | 1235125683 | NPPES |
Oklahoma | MEDICAID | 100259600A |
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