Provider Demographics
NPI:1346995719
Name:FRENCHTOWN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FRENCHTOWN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ISAAC
Authorized Official - Last Name:PISLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-234-0817
Mailing Address - Street 1:311 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2065
Mailing Address - Country:US
Mailing Address - Phone:192-340-8174
Mailing Address - Fax:
Practice Address - Street 1:804 N 2ND ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2039
Practice Address - Country:US
Practice Address - Phone:314-341-5860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty