SCOTT D KNOX, PA, Surgical GLEN CARBON, IL

Contact Information

SCOTT D KNOX, PA

4802 S STATE ROUTE 159
GLEN CARBON, IL 62034-1904

Phone: 618-288-4388
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for SCOTT D KNOX · (Male)

NPI Number	`1366591646`
Status	Active
Credentials	PA (Physician Assistant)
Entity	Individual
Enumeration date	01/09/2007
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	No
Identifiers	IL License # 085000439
Hospital affiliation(s)	ANDERSON HOSPITAL - (Acute Care) 6800 STATE ROUTE 162 MARYVILLE, IL 62062 GATEWAY REGIONAL MEDICAL CENTER - (Acute Care) 2100 MADISON AVENUE GRANITE CITY, IL 62040

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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