MEDICARE: KNOP CHIROPRACTIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	2646	OH
2	111NR0400X	Rehabilitation Chiropractor	2646	OH

General Provider Information

NPI Number	:	1134394174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNOP CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	450 W MAPLE ST
Second Line	:	SUITE 1
City	:	HARTVILLE
State	:	OH
Zip	:	44632-9649
Country	:	US
Telephone Number	:	330-877-2203
Fax Number	:	330-877-7750

Provider Business Practice Location Address
First Line	:	450 W MAPLE ST
Second Line	:	SUITE 1
City	:	HARTVILLE
State	:	OH
Zip	:	44632-9649
Country	:	US
Telephone Number	:	330-877-2203
Fax Number	:	330-877-7750

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

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	04/30/2010

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Directions to “KNOP CHIROPRACTIC INC ” Practice Location

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