Christopher Sean Knoeckel, MD/PHD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Aurora, CO

NPI 1891291159 · NPPES record last updated Apr 4, 2018

Key facts

NPI
1891291159
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
12631 E 17TH Ave
Aurora, CO 80045-2527
Phone
(303) 725-4896
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

12631 E 17TH Ave
Aurora, CO 80045-2527

Mailing address

12631 E 17TH Ave
Aurora, CO 80045-2527

Other providers in Aurora, CO

All providers in Aurora, CO · Student in an Organized Health Care Education/Training Program in Colorado

Sources for this page

Verify at the official NPI Registry.