Knudson, Richard P

Knudson, Richard P is an individual health care provider with primary practice located at 315 Martin Luther King Jr Way , Tacoma WA 98405-4234. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Knudson, Richard P can be contacted via phone (253) 403-1019.

Contact Information

Primary practice address
315 Martin Luther King Jr Way Tacoma WA 98405-4234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14795 Washington

Profile Details

NPI number 1336105816
LBN Legal business name Knudson, Richard P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336105816 NPPES
Washington MEDICAID 8117509

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