Provider Demographics
NPI:1891949848
Name:JAMES L. KNUDSEN
Entity Type:Organization
Organization Name:JAMES L. KNUDSEN
Other - Org Name:KNUDSEN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:KNUDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-299-2090
Mailing Address - Street 1:96 SHAW AVE
Mailing Address - Street 2:SUITE 215A
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612
Mailing Address - Country:US
Mailing Address - Phone:559-299-2090
Mailing Address - Fax:559-299-8972
Practice Address - Street 1:96 SHAW AVE
Practice Address - Street 2:SUITE 215A
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612
Practice Address - Country:US
Practice Address - Phone:559-299-2090
Practice Address - Fax:559-299-8972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty