Provider Demographics
NPI:1356499909
Name:DOOR, FRANK J (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:DOOR
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 1:2401 S MERIDIAN
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-1553
Mailing Address - Country:US
Mailing Address - Phone:253-841-6482
Mailing Address - Fax:253-864-0148
Practice Address - Street 1:2401 S MERIDIAN
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-1553
Practice Address - Country:US
Practice Address - Phone:253-841-6482
Practice Address - Fax:253-864-0148
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH0002740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA43965OtherLABOR & INDUSTRIES
WADO6214OtherREGENCE BLUE SHIELD
WADO6214OtherREGENCE BLUE SHIELD
WAU35104Medicare UPIN