Provider Demographics
NPI:1831629518
Name:KNOX FAMILY CHIROPRACTIC INC.
Entity type:Organization
Organization Name:KNOX FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-732-1144
Mailing Address - Street 1:2277 TOWNSGATE RD STE 218
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2422
Mailing Address - Country:US
Mailing Address - Phone:818-597-0000
Mailing Address - Fax:818-301-2336
Practice Address - Street 1:2277 TOWNSGATE RD STE 218
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2422
Practice Address - Country:US
Practice Address - Phone:818-597-0000
Practice Address - Fax:818-301-2336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty