Knutson, James Blake
Knutson, James Blake is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Knutson, James Blake can be contacted via phone (903) 510-1186.Contact Information
Primary practice address
800 E Dawson St
Tyler TX 75701-2036
Phone: (903) 510-1186
Fax: (903) 525-1254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M1841 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M1841 | Texas |
Profile Details
| NPI number | 1033183041 |
|---|---|
| LBN Legal business name | Knutson, James Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | May 18th, 2023 - about last year |
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 | 1033183041 | NPPES |
| Texas | Other | 1F8734 | MEDICARE |
| Texas | MEDICAID | 177134701 | MEDICARE |
| Texas | MEDICAID | 177134702 | MEDICARE |
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