Knudson, Richelle Melanie

Knudson, Richelle Melanie is an individual health care provider with primary practice located at 2830 N Washington St , Bismarck ND 58503-1482. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Knudson, Richelle Melanie can be contacted via phone (701) 323-6400.

Contact Information

Primary practice address
2830 N Washington St Bismarck ND 58503-1482
Phone: (701) 323-6400
Fax: (701) 323-5677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RL10955 North Dakota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 104460 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 52270 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 12939 North Dakota

Profile Details

NPI number 1811149156
LBN Legal business name Knudson, Richelle Melanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated Sep 23rd, 2015 - about 9 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 1811149156 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID 18404
Iowa Other P00839007
Iowa MEDICAID ENROLLED

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