Provider Demographics
NPI:1225451446
Name:KNIGHT, DALE ALEXANDER (LAC)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:ALEXANDER
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 N STATE ST.
Mailing Address - Street 2:SUITE 505
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-812-2058
Mailing Address - Fax:360-922-3373
Practice Address - Street 1:1155 N STATE ST.
Practice Address - Street 2:SUITE 505
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-812-2058
Practice Address - Fax:360-922-3373
Is Sole Proprietor?:No
Enumeration Date:2014-01-23
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60389697171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist