# THOMAS E. MCKNIGHT JR DO MPH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124169388
- **Authorized official:** DR. THOMAS E MCKNIGHT JR. DO MPH (PRESIDENT)
- **Authorized official phone:** (530) 896-0260

## Contact information

- **Practice address:** 130 INDEPENDENCE CIR, SUITE 5, CHICO, CA 95973-4962
- **Practice address phone:** (530) 896-0260
- **Practice address fax:** (530) 896-0287
- **Mailing address:** 236 W EAST AVE, PMB 104, CHICO, CA 95926-7235
- **Mailing address phone:** (530) 896-0260
- **Mailing address fax:** (530) 896-0287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 20A4876 | CA | — |
| 207R00000X | Internal Medicine Physician | 20A4876 | CA | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 20A4876 | CA | — |
| 2084N0400X | Neurology Physician | 20A4876 | CA | — |
| 2084N0600X | Clinical Neurophysiology Physician | 20A4876 | CA | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | 20A4876 | CA | — |
| 208D00000X | General Practice Physician | 20A4876 | CA | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 02/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00AX48760 | — | CA |
| 01 | — | DO9225 | MEDICARE RAILROAD \# | CA |