Provider Demographics
NPI:1164406856
Name:FRANKIE, NICHOLAS JOHN (DC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:JOHN
Last Name:FRANKIE
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 1:6723 SR 415
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-1625
Mailing Address - Country:US
Mailing Address - Phone:607-776-2741
Mailing Address - Fax:607-776-0061
Practice Address - Street 1:6723 SR 415
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-1625
Practice Address - Country:US
Practice Address - Phone:607-776-2741
Practice Address - Fax:607-776-0061
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0088908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U69795Medicare UPIN
BB6174Medicare PIN