Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DK004638 | MI |
NPI | 1124024971 |
---|---|
Provider Name | David M. Knapp |
First Address | Hillsdale, MI 49242-9823 |
Second Address | Hillsdale, MI 49242-9823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 15/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0298111 | CIGNA PPO (01) | MI |
1174771745 | TYPE II NPI (01) | MI |
262968470 | COFINITY (01) | MI |
5091231 | AETNA (01) | MI |
950C010590 | BCBSM (01) | MI |
950C010590 | BLUE CARE NETWORK (01) | MI |
P00643693 | PALMETTO RAILROAD GBA (01) | MI |
T32841 | (02) | MI |