Provider Demographics
NPI:1013095033
Name:KNAPP, EVE A (MD)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:A
Last Name:KNAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 YANCEYVILLE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6958
Mailing Address - Country:US
Mailing Address - Phone:336-275-6445
Mailing Address - Fax:
Practice Address - Street 1:1581 YANCEYVILLE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6958
Practice Address - Country:US
Practice Address - Phone:336-275-6445
Practice Address - Fax:336-275-3012
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-00721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1295NOtherBCBS OF NC
NC891295NMedicaid
NC44471OtherPARTNERS MEDICARE
NC1295NOtherBCBS OF NC
G88244Medicare UPIN
NC2295590AMedicare PIN