Provider Demographics
NPI:1225176274
Name:PAPALIA, PASQUALE FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:PASQUALE
Middle Name:FRANK
Last Name:PAPALIA
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 1:1811 KING RD
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3616
Mailing Address - Country:US
Mailing Address - Phone:734-692-7884
Mailing Address - Fax:734-675-2813
Practice Address - Street 1:1811 KING RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-3616
Practice Address - Country:US
Practice Address - Phone:734-692-7884
Practice Address - Fax:734-675-2813
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950H201440OtherBLUE CROSS
MIT96866Medicare UPIN
MI950H201440OtherBLUE CROSS