Provider Demographics
NPI:1518954387
Name:KNABLE, MARK ERIC (DO)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:ERIC
Last Name:KNABLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:75 HOSPITAL DR STE 140
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2858
Practice Address - Country:US
Practice Address - Phone:740-566-4720
Practice Address - Fax:740-566-4721
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
NC201001609207XS0114X
OH34.004482207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE68643Medicare UPIN