Knutson, Gene C

Knutson, Gene C is an individual health care provider with primary practice located at 7800 Pacific Ave Suite 1, Tacoma WA 98408-7050. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Knutson, Gene C can be contacted via phone (253) 473-5566.

Contact Information

Primary practice address
7800 Pacific Ave Suite 1 Tacoma WA 98408-7050
Fax: (253) 882-0988
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000432 Washington

Profile Details

NPI number 1487688982
LBN Legal business name Knutson, Gene C
Credentials DMP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487688982 NPPES
Washington MEDICAID 1054071
Washington Other 44999

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