| Thomas E. Mcknight Jr Do Mph Inc | |
|
130 Independence Cir Suite 5 Chico CA 95973-4962 | |
| (530) 896-0260 | |
| (530) 896-0287 |
| Full Name | Thomas E. Mcknight Jr Do Mph Inc |
|---|---|
| Speciality | General Practice |
| Location | 130 Independence Cir, Chico, California |
| Authorized Official Name and Position | Thomas E Mcknight (PRESIDENT) |
| Authorized Official Contact | 5308960260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E. Mcknight Jr Do Mph Inc 236 W East Ave Pmb 104 Chico CA 95926-7235 Ph: (530) 896-0260 | Thomas E. Mcknight Jr Do Mph Inc 130 Independence Cir Suite 5 Chico CA 95973-4962 Ph: (530) 896-0260 |
| NPI Number | 1124169388 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 02/22/2024 |
| Medicare PECOS PAC ID | 1850328485 |
|---|---|
| Medicare Enrollment ID | O20100113000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124169388 | NPI | - | NPPES |
| 00AX48760 | Medicaid | CA | |
| DO9225 | Other | CA | MEDICARE RAILROAD # |
| Provider Name | Thomas E Mcknight |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679578538 PECOS PAC ID: 1456389758 Enrollment ID: I20100113000660 |
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