Provider Demographics
NPI:1104097658
Name:KNOPP CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:KNOPP CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KNOPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-743-2866
Mailing Address - Street 1:39 PARIS ST
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5631
Mailing Address - Country:US
Mailing Address - Phone:207-743-2866
Mailing Address - Fax:207-743-5942
Practice Address - Street 1:39 PARIS ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5631
Practice Address - Country:US
Practice Address - Phone:207-743-2866
Practice Address - Fax:207-743-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty