Provider Demographics
NPI:1184839474
Name:ANN KNIGHT, DC,PA
Entity Type:Organization
Organization Name:ANN KNIGHT, DC,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHRIOPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-673-0991
Mailing Address - Street 1:2050 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4224
Mailing Address - Country:US
Mailing Address - Phone:972-673-0991
Mailing Address - Fax:972-673-0224
Practice Address - Street 1:1325 THOUSAND OAKS BLVD
Practice Address - Street 2:STE 104
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-2822
Practice Address - Country:US
Practice Address - Phone:972-523-3404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU66963Medicare UPIN