Provider Demographics
NPI:1134394174
Name:KNOP CHIROPRACTIC INC
Entity type:Organization
Organization Name:KNOP CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:KNOP
Authorized Official - Suffix:III
Authorized Official - Credentials:DC, DACRB
Authorized Official - Phone:330-877-2203
Mailing Address - Street 1:450 W MAPLE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HARTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44632-9649
Mailing Address - Country:US
Mailing Address - Phone:330-877-2203
Mailing Address - Fax:330-877-7750
Practice Address - Street 1:450 W MAPLE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:HARTVILLE
Practice Address - State:OH
Practice Address - Zip Code:44632-9649
Practice Address - Country:US
Practice Address - Phone:330-877-2203
Practice Address - Fax:330-877-7750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2646332B00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6352710001Medicare NSC