Provider Demographics
NPI:1427277409
Name:KNIGHT CHIROPRACTIC
Entity type:Organization
Organization Name:KNIGHT CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-541-1114
Mailing Address - Street 1:5674 CAITO DR
Mailing Address - Street 2:BLDG. 6 STE. 110
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1375
Mailing Address - Country:US
Mailing Address - Phone:317-541-1114
Mailing Address - Fax:317-541-1115
Practice Address - Street 1:5674 CAITO DR
Practice Address - Street 2:BLDG. 6 STE. 110
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-1375
Practice Address - Country:US
Practice Address - Phone:317-541-1114
Practice Address - Fax:317-541-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty