Provider Demographics
NPI:1942237904
Name:KNAPP, TONY A (DC)
Entity type:Individual
Prefix:DR
First Name:TONY
Middle Name:A
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 1:21430 CEDAR DR STE 226
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-8697
Mailing Address - Country:US
Mailing Address - Phone:703-444-3870
Mailing Address - Fax:
Practice Address - Street 1:21430 CEDAR DR STE 226
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-8697
Practice Address - Country:US
Practice Address - Phone:703-444-3870
Practice Address - Fax:703-430-5762
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00438111N00000X
VA0104556607111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIU83956Medicare UPIN
RI359022186Medicare ID - Type Unspecified
VASC0001006Medicare PIN