Provider Demographics
NPI:1245608694
Name:KNOWLES, MONICA EGAN (DC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:EGAN
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 HARTMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-3408
Mailing Address - Country:US
Mailing Address - Phone:423-788-4210
Mailing Address - Fax:
Practice Address - Street 1:250 BEL MARIN KEYS BLVD STE D1
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94949-5709
Practice Address - Country:US
Practice Address - Phone:415-612-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3548111N00000X
CA31715111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
No111N00000XChiropractic ProvidersChiropractor