Organization
KNUTSON & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KNUTSON D.C. (OWNER)
(704) 394-8556
Entity
Organization
Contact information
Practice address
10917 BLACK DOG LN, SUITE 101, CHARLOTTE, NC 28214-1461
(704) 394-8556
(704) 395-8556
Mailing address
10917 BLACK DOG LN, SUITE 101, CHARLOTTE, NC 28214-1461
(704) 394-8556
(704) 395-8556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4301
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC7572A
MEDICARE PTIN
NC
Enumeration date
03/04/2014
Last updated
03/04/2014
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