Provider Demographics
NPI:1528375250
Name:KNIVETON, JANET (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:KNIVETON
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 1:230 GRAND AVE STE 301C
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-4588
Mailing Address - Country:US
Mailing Address - Phone:510-452-3940
Mailing Address - Fax:510-663-1146
Practice Address - Street 1:230 GRAND AVE STE 301C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-4588
Practice Address - Country:US
Practice Address - Phone:510-452-3940
Practice Address - Fax:510-663-1146
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor