MEDICARE: DR. THOMAS E MCKNIGHT JR. D.O. MPH

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	2084N0400X	Neurology Physician	20A4876	CA
2	207R00000X	Internal Medicine Physician	20A4876	CA
3	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	20A4876	CA
4	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	20A4876	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	130026036	OTHER		MEDICARE RAILROAD #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679578538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS E MCKNIGHT JR. D.O. MPH

Provider Business Mailing Address
First Line	:	236 W EAST AVE
Second Line	:	PMB 104
City	:	CHICO
State	:	CA
Zip	:	95926-7235
Country	:	US
Telephone Number	:	530-896-0260
Fax Number	:	530-896-0287

Provider Business Practice Location Address
First Line	:	130 INDEPENDENCE CIR
Second Line	:	SUITE 5
City	:	CHICO
State	:	CA
Zip	:	95973-4962
Country	:	US
Telephone Number	:	530-896-0260
Fax Number	:	530-896-0287

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/16/2015

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Directions to “ DR. THOMAS E MCKNIGHT JR. D.O. MPH” Practice Location

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