Provider Demographics
NPI:1124016795
Name:MOLTHEN, FRANK JAMES JR (DC, QME)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JAMES
Last Name:MOLTHEN
Suffix:JR
Gender:M
Credentials:DC, QME
Other - Prefix:
Other - First Name:MOLTHEN
Other - Middle Name:CHIROPRACTIC &
Other - Last Name:WELLNESS CENTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:506 N KAWEAH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-1271
Mailing Address - Country:US
Mailing Address - Phone:559-592-9560
Mailing Address - Fax:559-592-9581
Practice Address - Street 1:506 N KAWEAH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EXETER
Practice Address - State:CA
Practice Address - Zip Code:93221-1271
Practice Address - Country:US
Practice Address - Phone:559-592-9560
Practice Address - Fax:559-592-9581
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2012-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0119900Medicaid
CADC0119900Medicaid
CAU19171Medicare UPIN