Provider Demographics
NPI:1679334205
Name:MCKNEE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:MCKNEE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:MCKNEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-730-3423
Mailing Address - Street 1:5855 GREEN VALLEY CIR STE 106
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6965
Mailing Address - Country:US
Mailing Address - Phone:310-730-3423
Mailing Address - Fax:
Practice Address - Street 1:5855 GREEN VALLEY CIR STE 106
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6965
Practice Address - Country:US
Practice Address - Phone:310-730-3423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty