Provider Demographics
NPI:1407971781
Name:FRAIN, MATTHEW MICHAEL (DC )
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:MICHAEL
Last Name:FRAIN
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 1:3577 S ARLINGTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5268
Mailing Address - Country:US
Mailing Address - Phone:330-896-8800
Mailing Address - Fax:330-896-8383
Practice Address - Street 1:3577 S ARLINGTON RD STE A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5268
Practice Address - Country:US
Practice Address - Phone:330-896-8800
Practice Address - Fax:330-896-8383
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2164670Medicaid
OHFR4014731Medicare ID - Type Unspecified
OH2164670Medicaid