Knutsen, Roger Steven

Knutsen, Roger Steven is an individual health care provider with primary practice located at 717 Meade St Suite 100, Rapid City SD 57701-5103. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Knutsen, Roger Steven can be contacted via phone (605) 341-5910.

Contact Information

Primary practice address
717 Meade St Suite 100 Rapid City SD 57701-5103
Phone: (605) 341-5910
Fax: (605) 341-9052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1796 South Dakota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 1796 South Dakota
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 1796 South Dakota

Profile Details

NPI number 1972573707
LBN Legal business name Knutsen, Roger Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 11th, 2008 - 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 1972573707 NPPES
South Dakota MEDICAID 5900222
South Dakota Other 0009994

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