Provider Demographics
NPI:1558486720
Name:TARQUINI, FRANK EDWARD (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EDWARD
Last Name:TARQUINI
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 BALTIMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048
Mailing Address - Country:US
Mailing Address - Phone:410-833-7222
Mailing Address - Fax:410-833-6179
Practice Address - Street 1:2400 BALTIMORE BLVD
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048
Practice Address - Country:US
Practice Address - Phone:410-833-7222
Practice Address - Fax:410-833-6179
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01882111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD420985OtherCOVENTRY
MD920RMedicare ID - Type Unspecified
54998703Medicare UPIN
DCG3280001Medicare ID - Type Unspecified
MD420985OtherCOVENTRY