Healthcare Provider Details

I. General information

NPI: 1134394174
Provider Name (Legal Business Name): KNOP CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W MAPLE ST SUITE 1
HARTVILLE OH
44632-9649
US

IV. Provider business mailing address

450 W MAPLE ST SUITE 1
HARTVILLE OH
44632-9649
US

V. Phone/Fax

Practice location:
  • Phone: 330-877-2203
  • Fax: 330-877-7750
Mailing address:
  • Phone: 330-877-2203
  • Fax: 330-877-7750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number2646
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2646
License Number StateOH

VIII. Authorized Official

Name: DR. WILLIAM L KNOP III
Title or Position: PRESIDENT
Credential: D.C., D.A.C.R.B.
Phone: 330-877-2203