Active NPIIndividual providerSole proprietor

Ethan Knisley, DC

Chiropractor in Stamford, Connecticut

NPI Number1396334017
Practice location
500 Summer St Ste 406, Stamford, CT 06901-1397
Fax
—
Last updated
January 17, 2021

Ethan Knisley is a Chiropractor based in Stamford, CT. Ethan Knisley practices in Stamford, CT and has the professional credentials of DC. The NPI Number for Ethan Knisley is 1396334017 and holds a License No. 2213 (CT). The current practice location address for Ethan Knisley is 500 Summer St Ste 406, Stamford, CT 06901-1397 and can be reached out via phone at 203-355-2225.

Provider Profile Details

NPI Number
1396334017
Provider Name
Ethan Knisley
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
500 Summer St Ste 406, Stamford, CT 06901-1397
Phone Number
203-355-2225
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2021
Last Update Date
January 17, 2021
Certification Date
January 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Summer St Ste 406
Stamford, CT 06901-1397
Zip
06901-1397
Phone Number
203-355-2225
Stamford, CT 06901Get directions →

Provider Business Mailing Address Details

Address
57 Kenmare St Apt 23
New York, NY 10012-4670
City
New York
State
NY
Zip
10012-4670
Phone Number
614-557-8604

License Information

License Number
2213
License State
CT
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan Knisley, DC?

The NPI number of Ethan Knisley, DC is 1396334017. It was assigned on January 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Ethan Knisley, DC?

Ethan Knisley, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in CT under license number 2213.

Where does Ethan Knisley, DC practice?

The practice location is 500 Summer St Ste 406, Stamford, CT 06901-1397. The office can be reached at 203-355-2225 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396334017 directly on the NPPES registry website.

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