Individual
DR. MARK A KNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11322 Q ST, OMAHA, NE 68137-3679
(402) 339-9510
(402) 592-0316
Mailing address
11322 Q ST, OMAHA, NE 68137-3679
(402) 339-9510
(402) 592-0316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
841
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068804800
—
NE
Enumeration date
05/06/2006
Last updated
10/12/2007
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