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Contact Information

GARY KNUTSON, DC
840 W 17TH ST STE 5
BLOOMINGTON, IN47404-3379
 Phone: 812-339-5839
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GARY KNUTSON · (Male)

NPI # 1821196353
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 09/20/2006
Last updated 01/09/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 08000749A
  • IN Other 000000215982 BLUE CROSS/BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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