Provider Demographics
NPI:1124024971
Name:KNAPP, DAVID M (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:KNAPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1384 VERA DR
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9823
Mailing Address - Country:US
Mailing Address - Phone:517-437-4767
Mailing Address - Fax:517-437-0567
Practice Address - Street 1:1384 VERA DR
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-9823
Practice Address - Country:US
Practice Address - Phone:517-437-4767
Practice Address - Fax:517-437-0567
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDK004638111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI262968470OtherCOFINITY
MI0298111OtherCIGNA PPO
MI5091231OtherAETNA
MI1174771745OtherTYPE II NPI
MI950C010590OtherBCBSM
MI950C010590OtherBLUE CARE NETWORK
MIP00643693OtherPALMETTO RAILROAD GBA
MI0298111OtherCIGNA PPO
MI1174771745OtherTYPE II NPI