Knudson, Rebecca L
Knudson, Rebecca L is an individual health care provider with primary practice located at 1420 N 10Th Stst Queen City Regional Medical Clinic, Spearfish SD 57783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Knudson, Rebecca L can be contacted via phone (605) 642-8414.Contact Information
Primary practice address
1420 N 10Th Stst Queen City Regional Medical Clinic
Spearfish SD 57783
Phone: (605) 642-8414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5715 | South Dakota |
Profile Details
| NPI number | 1487627097 |
|---|---|
| LBN Legal business name | Knudson, Rebecca L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 6th, 2013 - 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 | 1487627097 | NPPES |
| South Dakota | MEDICAID | 5606960 |
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