Provider Demographics
NPI:1447255419
Name:KNAPP, DANIEL J (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:KNAPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3982 BEE RIDGE RD
Mailing Address - Street 2:BLDG H / STE H
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1210
Mailing Address - Country:US
Mailing Address - Phone:941-925-2211
Mailing Address - Fax:941-925-9512
Practice Address - Street 1:3982 BEE RIDGE RD
Practice Address - Street 2:BLDG H / STE H
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1210
Practice Address - Country:US
Practice Address - Phone:941-925-2211
Practice Address - Fax:941-925-9512
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001403900Medicaid
FL70514Medicare ID - Type Unspecified