Knudson, Sandra L
Knudson, Sandra L is an individual health care provider with primary practice located at 1000 South Columbia Road , Grand Forks ND 58206-6002. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Knudson, Sandra L can be contacted via phone (701) 780-5000.Contact Information
Primary practice address
1000 South Columbia Road
Grand Forks ND 58206-6002
Phone: (701) 780-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 227 | North Dakota |
| Other Service Providers / Specialist | 174400000X | 0227 | North Dakota |
Profile Details
| NPI number | 1255478632 |
|---|---|
| LBN Legal business name | Knudson, Sandra L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 22nd, 2011 - about 13 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 | 1255478632 | NPPES |
| North Dakota | MEDICAID | 58557 |
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