Provider Demographics
NPI:1649933342
Name:KNOX CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:KNOX CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEENAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-622-0131
Mailing Address - Street 1:46 BANGOR ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-4870
Mailing Address - Country:US
Mailing Address - Phone:207-622-0131
Mailing Address - Fax:207-622-2144
Practice Address - Street 1:46 BANGOR ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4870
Practice Address - Country:US
Practice Address - Phone:207-622-0131
Practice Address - Fax:207-622-2144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty