Provider Demographics
NPI:1073679353
Name:VESPRINI, FRANK LUCA (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LUCA
Last Name:VESPRINI
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 1:22468 MILNER ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-2003
Mailing Address - Country:US
Mailing Address - Phone:313-354-3192
Mailing Address - Fax:
Practice Address - Street 1:12912 E 8 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1142
Practice Address - Country:US
Practice Address - Phone:313-527-7070
Practice Address - Fax:313-527-7016
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFV008501111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4494517Medicaid
MI950Q26288OtherBLUE CROSS PROVIDER CODE
MIFV008501OtherLICENSE NUMBER
MIU88934Medicare UPIN