Knudsen, Victoria L.
Knudsen, Victoria L. is an individual health care provider with primary practice located at 1301 S Cliff Ave Suite 220, Sioux Falls SD 57105-1023. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Knudsen, Victoria L. can be contacted via phone (605) 322-3790.Contact Information
Primary practice address
1301 S Cliff Ave Suite 220
Sioux Falls SD 57105-1023
Phone: (605) 322-3790
Fax: (605) 322-3791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A78941 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 8041 | South Dakota |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 6051574-1205 | Utah |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 6051574-1205 | Utah |
Profile Details
| NPI number | 1174574800 |
|---|---|
| LBN Legal business name | Knudsen, Victoria L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 5th, 2018 - about 8 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 | 1174574800 | NPPES |
| Other | 00A789410 | BLUE SHIELD | |
| MEDICAID | 6300730 | BLUE SHIELD | |
| MEDICAID | S104992 | BLUE SHIELD | |
| Other | F899 | BLUE SHIELD |
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