Provider Demographics
NPI:1629028246
Name:STELLA, FRANK JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:JOSEPH
Last Name:STELLA
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 1:403 CANTON RD
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3907
Mailing Address - Country:US
Mailing Address - Phone:740-275-4068
Mailing Address - Fax:740-275-4068
Practice Address - Street 1:120 MARGUERITE DR
Practice Address - Street 2:STE 102
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-5007
Practice Address - Country:US
Practice Address - Phone:724-742-1030
Practice Address - Fax:724-742-1180
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2018-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003175L111N00000X
OH3452111N00000X
CADC22924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA504461OtherHIGHMARK BLUE CROSS
PA504461Medicare ID - Type Unspecified
T82303Medicare UPIN