Provider Demographics
NPI:1326898586
Name:KNOWLTON CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:KNOWLTON CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:JOHN-STEVEN
Authorized Official - Last Name:KNOWLTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-771-3737
Mailing Address - Street 1:118 ELM LN
Mailing Address - Street 2:
Mailing Address - City:SISTERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26175-9779
Mailing Address - Country:US
Mailing Address - Phone:304-771-3737
Mailing Address - Fax:
Practice Address - Street 1:901 N WV STATE ROUTE 2
Practice Address - Street 2:STE 1
Practice Address - City:NEW MARTINSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26155
Practice Address - Country:US
Practice Address - Phone:304-455-6444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty