Knutson, Gary
Knutson, Gary is an sole proprietor health care provider with primary practice located at 840 W 17Th St Ste 5 , Bloomington IN 47404-3379. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Knutson, Gary can be contacted via phone (812) 339-5839.Contact Information
Primary practice address
840 W 17Th St Ste 5
Bloomington IN 47404-3379
Phone: (812) 339-5839
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 08000749A | Indiana |
Profile Details
| NPI number | 1821196353 |
|---|---|
| LBN Legal business name | Knutson, Gary |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 9th, 2008 - about 16 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 | 1821196353 | NPPES |
| Indiana | Other | 000000215982 | BLUE CROSS/BLUE SHIELD |
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