Provider Demographics
NPI:1467784173
Name:FRANCIS, ELROY (DC)
Entity Type:Individual
Prefix:
First Name:ELROY
Middle Name:
Last Name:FRANCIS
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 1:300 CREEK VIEW RD
Mailing Address - Street 2:STE 201
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-8548
Mailing Address - Country:US
Mailing Address - Phone:302-286-7189
Mailing Address - Fax:302-861-0668
Practice Address - Street 1:300 CREEK VIEW RD
Practice Address - Street 2:STE 201
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-8548
Practice Address - Country:US
Practice Address - Phone:302-286-7189
Practice Address - Fax:302-861-0668
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEF1-0001003OtherPROFESSIONAL LICENSE
PADC003331LOtherPROFESSIONAL LICENSE