Provider Demographics
NPI:1184828196
Name:KNIZNER, WILLIAM J (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:KNIZNER
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 1:2016 GOOSE CREEK ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-8501
Mailing Address - Country:US
Mailing Address - Phone:540-943-1434
Mailing Address - Fax:540-943-5292
Practice Address - Street 1:2016 GOOSE CREEK ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-8501
Practice Address - Country:US
Practice Address - Phone:540-943-1434
Practice Address - Fax:540-943-5292
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
175966OtherANTHEM
257551OtherSOUTHERN HEALTH
652956OtherUNITED HEALTH CARE
652956OtherUNITED HEALTH CARE
00W392A01Medicare PIN