Edward J Knoll
Sports Medicine Doctor
800 Meridian S Suite B
Puyallup
, Washington 98371-6995
Edward J Knoll
Sports Medicine Doctor
800 Meridian S Suite B
Puyallup
, Washington 98371-6995
(253) 840-3513
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Edward J Knoll
- 800 Meridian S Suite B
- Puyallup, WA
- Zip : 98371-6995
- Fax : (253) 840-3513
- Phone : (253) 845-9511
Second Address
- Edward J Knoll
- 800 Meridian S Suite B
- Puyallup, WA
- Zip : 98371-6995
- Fax : (253) 840-3513
- Phone : (253) 845-9511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MD00015770 | WA |
National Provider Identifier
| NPI | 1033118054 |
|---|---|
| Provider Name | Edward J Knoll |
| First Address | Puyallup, WA 98371-6995 |
| Second Address | Puyallup, WA 98371-6995 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0164016 | WORKERS COMPENSATION (01) | WA |
| 8322133 | (05) | WA |
| AB33984 | (02) | WA |
| KN3909 | REGENCE BLUESHEILD (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.