Provider Demographics
NPI:1417961418
Name:LUKE, FRANKLIN F JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:F
Last Name:LUKE
Suffix:JR
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 1:3 5 SOUTH 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4009
Mailing Address - Country:US
Mailing Address - Phone:804-726-4760
Mailing Address - Fax:804-726-4645
Practice Address - Street 1:3 S 12TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-4009
Practice Address - Country:US
Practice Address - Phone:804-726-4760
Practice Address - Fax:804-726-4645
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417961418OtherBLUE CROSS/ BLUE SHIELD