Provider Demographics
NPI:1588604607
Name:KNECHTEL, DONNA L (DC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:KNECHTEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:K
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1310 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3162
Mailing Address - Country:US
Mailing Address - Phone:412-963-7400
Mailing Address - Fax:412-963-7409
Practice Address - Street 1:1310 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3162
Practice Address - Country:US
Practice Address - Phone:412-963-7400
Practice Address - Fax:412-963-7409
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002407L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1622775OtherHIGHMARK BC/BS
PA415682OtherUPMC
PA1025216180001Medicaid
PA415682OtherUPMC