Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 4301061761 | MI |
NPI | 1194776203 |
---|---|
Provider Name | Dr. Cynthia Knapp |
First Address | Mt Pleasant, MI 48858-3872 |
Second Address | Laingsburg, MI 48848-9805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 14/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0103710612 | BCBSM (01) | MI |
0108132312 | BCBSM (01) | MI |
4157295 | (05) | MI |
647906 | (02) | MI |