Provider Demographics
NPI:1649257387
Name:KNOPP, BARRY E (DC)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
Last Name:KNOPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 PARIS ST
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5631
Mailing Address - Country:US
Mailing Address - Phone:207-743-2866
Mailing Address - Fax:207-743-5942
Practice Address - Street 1:39 PARIS ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5631
Practice Address - Country:US
Practice Address - Phone:207-743-2866
Practice Address - Fax:207-743-5942
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME005819OtherBCBS
ME119660299Medicaid
MEKNMM0683Medicare ID - Type Unspecified
ME005819OtherBCBS