Knutson & Associates | |
10917 Black Dog Ln, Suite 101, Charlotte, NC 28214-1461 | |
(704) 394-8556 | |
(704) 395-8556 |
Full Name | Knutson & Associates |
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Type | Facility |
Speciality | Chiropractor |
Location | 10917 Black Dog Ln, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437574274 | NPI | - | NPPES |
NC7572A | Other | NC | MEDICARE PTIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4301 (North Carolina) | Primary |
Provider Name | Nicholas J Knutson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255687000 PECOS PAC ID: 6204082787 Enrollment ID: I20120816000361 |
Mailing Address | Practice Location Address |
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Knutson & Associates 10917 Black Dog Ln, Suite 101, Charlotte, NC 28214-1461 Ph: (704) 394-8556 | Knutson & Associates 10917 Black Dog Ln, Suite 101, Charlotte, NC 28214-1461 Ph: (704) 394-8556 |
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