Provider Demographics
NPI:1124036975
Name:DR. MICKEY E. FRAME
Entity Type:Organization
Organization Name:DR. MICKEY E. FRAME
Other - Org Name:FRAME FAMILY WELLNES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-475-9355
Mailing Address - Street 1:3020 N MCCORD RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1702
Mailing Address - Country:US
Mailing Address - Phone:419-475-9355
Mailing Address - Fax:419-475-8256
Practice Address - Street 1:3020 N MCCORD RD
Practice Address - Street 2:SUITE 104
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1702
Practice Address - Country:US
Practice Address - Phone:419-475-9355
Practice Address - Fax:419-475-8256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC1400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000485226OtherANTHEM
OH0853830Medicaid
OH350048OtherACN
OH350048OtherACN
OH=========-00OtherBWC- LOCAL