Provider Demographics
NPI:1588655252
Name:ELKINS, FREDERICK FORD (DC)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:FORD
Last Name:ELKINS
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:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-0026
Mailing Address - Country:US
Mailing Address - Phone:937-593-9846
Mailing Address - Fax:937-593-9826
Practice Address - Street 1:1430 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-1504
Practice Address - Country:US
Practice Address - Phone:937-593-9846
Practice Address - Fax:937-593-9826
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0453352Medicaid
OH0453352Medicaid
OHEL0478972Medicare ID - Type Unspecified