Provider Demographics
NPI:1235358193
Name:VAQUERO D.C P.C., FRANCISCO A (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:A
Last Name:VAQUERO D.C P.C.
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 1:455 NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-1834
Mailing Address - Country:US
Mailing Address - Phone:716-248-2825
Mailing Address - Fax:716-248-2826
Practice Address - Street 1:455 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1834
Practice Address - Country:US
Practice Address - Phone:716-248-2825
Practice Address - Fax:716-248-2826
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006449111N00000X
NYX008141-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA694947OtherACN GROUP
GAU60972Medicare UPIN
GA35ZCHCBMedicare ID - Type Unspecified