Provider Demographics
NPI:1174115158
Name:FRANK, CHELSEA SHENELLA (DC)
Entity type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:SHENELLA
Last Name:FRANK
Suffix:
Gender:F
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:PO BOX 69294
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264
Mailing Address - Country:US
Mailing Address - Phone:443-842-5500
Mailing Address - Fax:410-766-1330
Practice Address - Street 1:4201 NORTHVIEW DR STE 101
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-2644
Practice Address - Country:US
Practice Address - Phone:301-882-5500
Practice Address - Fax:402-453-1802
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS04070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor