Provider Demographics
NPI:1245412766
Name:CONLEY, FRANK WILLIAM JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:WILLIAM
Last Name:CONLEY
Suffix:JR
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 1:21543 DEVONSHIRE ST
Mailing Address - Street 2:104
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2908
Mailing Address - Country:US
Mailing Address - Phone:818-298-2074
Mailing Address - Fax:818-999-2349
Practice Address - Street 1:21543 DEVONSHIRE ST
Practice Address - Street 2:104
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2908
Practice Address - Country:US
Practice Address - Phone:818-298-2074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor