Provider Demographics
NPI:1356469936
Name:KNIGHT, PETER J (ND)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:J
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:975 BROADWAY FL 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-4206
Mailing Address - Country:US
Mailing Address - Phone:207-805-1129
Mailing Address - Fax:207-692-2614
Practice Address - Street 1:975 BROADWAY FL 1
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-4206
Practice Address - Country:US
Practice Address - Phone:207-805-1129
Practice Address - Fax:207-692-2614
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MENP280175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath