Provider Demographics
NPI:1245229061
Name:KNIGHT, ERIC L (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743
Mailing Address - Country:US
Mailing Address - Phone:603-542-6700
Mailing Address - Fax:603-542-6730
Practice Address - Street 1:7 DUNNING STREET
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743
Practice Address - Country:US
Practice Address - Phone:603-542-6700
Practice Address - Fax:603-543-6730
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11230207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080175554OtherRR MEDICARE
NH01YP03109NH01OtherANTHEM ACES #
NHH40892OtherANTHEM UPIN REFERRAL #
NHT400264103OtherMEDICARE PTAN
101115802OtherW/C DEPT OF LABOR
NH30201527Medicaid
NHNH2114OtherHPHC
2575738OtherAETNA
NH437862OtherCIGNA
01-40927OtherUHC
NH011230OtherTUFTS
NHT400264103OtherMEDICARE PTAN