Provider Demographics
NPI:1326486978
Name:MCKNIGHT, SEAN WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:WILLIAM
Last Name:MCKNIGHT
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 1:9110 N LOOP 1604 W STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3397
Mailing Address - Country:US
Mailing Address - Phone:210-920-8473
Mailing Address - Fax:512-857-6368
Practice Address - Street 1:9110 N LOOP 1604 W STE 109
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3397
Practice Address - Country:US
Practice Address - Phone:210-920-8473
Practice Address - Fax:512-857-6368
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor