Provider Demographics
NPI:1356814602
Name:FRANCKE OC CHIROPRACTIC NEUROLOGY CORP
Entity Type:Organization
Organization Name:FRANCKE OC CHIROPRACTIC NEUROLOGY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-677-1000
Mailing Address - Street 1:60 PALATINE APT 419
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-5651
Mailing Address - Country:US
Mailing Address - Phone:949-677-1000
Mailing Address - Fax:
Practice Address - Street 1:25301 CABOT RD STE 106
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5511
Practice Address - Country:US
Practice Address - Phone:949-677-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center