Provider Demographics
NPI:1902086622
Name:KNIGHT, JAMES E (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 LOCUST STREET SOUTH
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-9391
Mailing Address - Country:US
Mailing Address - Phone:330-854-4544
Mailing Address - Fax:330-854-6571
Practice Address - Street 1:2445 LOCUST STREET SOUTH
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-9391
Practice Address - Country:US
Practice Address - Phone:330-854-4544
Practice Address - Fax:330-854-6571
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350026356OtherMEDICARE PALMETTORAILROAD
OHT80587Medicare UPIN