Knudson, Mark James
Knudson, Mark James is an sole proprietor health care provider with primary practice located at 3264 S 97Th St , Milwaukee WI 53227-4206. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Knudson, Mark James can be contacted via phone (414) 899-4554.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1205392610 |
|---|---|
| LBN Legal business name | Knudson, Mark James |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2019 |
| Last updated | Feb 11th, 2019 - about 6 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 | 1205392610 | NPPES |
| Other | 0198162 | FENCE INSTALLATION |
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