Provider Demographics
NPI:1508445891
Name:BIGELOW, FRANK CREIGHTON
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:CREIGHTON
Last Name:BIGELOW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34556 N APPALOOSA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-4431
Mailing Address - Country:US
Mailing Address - Phone:480-688-6901
Mailing Address - Fax:480-546-3381
Practice Address - Street 1:34556 N APPALOOSA WAY
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85142-4431
Practice Address - Country:US
Practice Address - Phone:480-688-6901
Practice Address - Fax:480-546-3381
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician