Provider Demographics
NPI:1710942768
Name:KNOCHEL, JOSEPH EDWIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWIN
Last Name:KNOCHEL
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:112 WHIPPLE ST.
Mailing Address - Street 2:#101
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.
Practice Address - Street 2:#101
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
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2007-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ140213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0318670001Medicare NSC