Provider Demographics
NPI:1235297144
Name:HATCH, FRANK BLY (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:BLY
Last Name:HATCH
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 1:18761 N REEMS RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-8646
Mailing Address - Country:US
Mailing Address - Phone:623-583-9180
Mailing Address - Fax:623-583-2871
Practice Address - Street 1:18761 N REEMS RD
Practice Address - Street 2:SUITE 400
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-8646
Practice Address - Country:US
Practice Address - Phone:623-583-9180
Practice Address - Fax:623-583-2871
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5057111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0932140OtherBLUE CROSS BLUE SHIELD
AZAZ5592OtherHEALTHNET
AZAZ0932140OtherBLUE CROSS BLUE SHIELD
AZAZ5592OtherHEALTHNET