Provider Demographics
NPI:1235270901
Name:DENIRO, FRANK JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:DENIRO
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 1:150 QUEENS LN
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1670
Mailing Address - Country:US
Mailing Address - Phone:330-702-1502
Mailing Address - Fax:
Practice Address - Street 1:2763 E MIDLOTHIAN BLVD
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-1032
Practice Address - Country:US
Practice Address - Phone:330-755-2174
Practice Address - Fax:330-755-2175
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341513974-00OtherWORKERS COMPENSATION
OH0616631Medicaid
OH341513974-00OtherWORKERS COMPENSATION
OH0616631Medicaid