Provider Demographics
NPI:1316035488
Name:SHORT, FRANKLIN P (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:P
Last Name:SHORT
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 1:409 N KANAWHA ST
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3856
Mailing Address - Country:US
Mailing Address - Phone:304-252-0200
Mailing Address - Fax:304-252-0256
Practice Address - Street 1:409 N KANAWHA ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3856
Practice Address - Country:US
Practice Address - Phone:304-252-0200
Practice Address - Fax:304-252-0256
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor