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
Fax: (405) 951-2237
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1235125683 NPPES
Oklahoma MEDICAID 100259600A

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