Provider Demographics
NPI:1629032644
Name:FRANK, THOMAS MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:FRANK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4446 MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SNYDER
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4406
Mailing Address - Country:US
Mailing Address - Phone:716-839-0047
Mailing Address - Fax:716-839-0048
Practice Address - Street 1:4446 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SNYDER
Practice Address - State:NY
Practice Address - Zip Code:14226-4406
Practice Address - Country:US
Practice Address - Phone:716-839-0047
Practice Address - Fax:716-839-0048
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008438-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8809353OtherINDEPENDENT HEALTH
NY16152227701OtherPRISM
NY16152227701OtherPRISM