Provider Demographics
NPI:1952806333
Name:KNIGHT FISCHER
Entity Type:Organization
Organization Name:KNIGHT FISCHER
Other - Org Name:THE OSTEOPATHIC WAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:253-569-2562
Mailing Address - Street 1:174 CARMELITO AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4502
Mailing Address - Country:US
Mailing Address - Phone:831-920-3838
Mailing Address - Fax:831-222-1004
Practice Address - Street 1:174 CARMELITO AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4502
Practice Address - Country:US
Practice Address - Phone:831-920-3838
Practice Address - Fax:831-222-1004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A15539204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty