Provider Demographics
NPI:1093762668
Name:BEMIS, FRANK C (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:C
Last Name:BEMIS
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 1:4105 HUMBERT RD
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-7116
Mailing Address - Country:US
Mailing Address - Phone:618-463-1600
Mailing Address - Fax:618-463-1624
Practice Address - Street 1:4105 HUMBERT RD
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-7116
Practice Address - Country:US
Practice Address - Phone:618-463-1600
Practice Address - Fax:618-463-1624
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038003173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4298133OtherAETNA HEALTHCARE
IL4450057OtherUNITED HEALTH CARE
IL6082010OtherBLUE CROSS BLUE SHEILD
IL038003173Medicaid
MO10214T001OtherBCBS ALLIANCE
IL392575OtherHEALTHLINK
MO6006OtherBLUE CROSS BLUE SHEILD MO
IL4298133OtherAETNA HEALTHCARE