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NPI Code Detail

MEDICARE: DR. LOUIS KNOBLE M.D.

MEDICARE: DR. LOUIS KNOBLE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician01039178AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000082089OTHERINANTHEM BC/BS
21487OTHERINPHP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922005123
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS KNOBLE M.D.
Provider Business Mailing Address
First Line : 3810 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number : 260-482-1004
Fax Number : 260-483-7894
Provider Business Practice Location Address
First Line : 3810 NEW VISION DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1708
Country : US
Telephone Number : 260-482-1004
Fax Number : 260-483-7894
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 05/06/2014

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Directions to “ DR. LOUIS KNOBLE M.D.” Practice Location

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