Provider Demographics
NPI:1568509925
Name:FRANK CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:FRANK CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAGONI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:765-641-7700
Mailing Address - Street 1:6021 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-9609
Mailing Address - Country:US
Mailing Address - Phone:502-649-0076
Mailing Address - Fax:
Practice Address - Street 1:520 E 8TH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-4017
Practice Address - Country:US
Practice Address - Phone:765-641-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002337A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty