Provider Demographics
NPI:1003235920
Name:JOSEPH F KNOCHEL, DPM PC
Entity Type:Organization
Organization Name:JOSEPH F KNOCHEL, DPM PC
Other - Org Name:AMERICAN FAMILY FOOT HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:KNOCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:928-445-1541
Mailing Address - Street 1:112 WHIPPLE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1713
Mailing Address - Country:US
Mailing Address - Phone:928-445-1541
Mailing Address - Fax:928-445-6235
Practice Address - Street 1:112 WHIPPLE ST STE 101
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1713
Practice Address - Country:US
Practice Address - Phone:928-445-1541
Practice Address - Fax:928-445-6235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ140213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty