Provider Demographics
NPI:1093874448
Name:FRANZMAN, TERESA ADELE (DC)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:ADELE
Last Name:FRANZMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:TERESA
Other - Middle Name:ADELE
Other - Last Name:ROBBURTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:322 NORTH SAN DIMAS AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773
Mailing Address - Country:US
Mailing Address - Phone:626-963-1681
Mailing Address - Fax:626-914-3172
Practice Address - Street 1:322 NORTH SAN DIMAS AVENUE
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773
Practice Address - Country:US
Practice Address - Phone:626-963-1681
Practice Address - Fax:626-914-3172
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23649111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U58410Medicare UPIN