Provider Demographics
NPI:1629057500
Name:FRANKUM, JOSHUA T (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:T
Last Name:FRANKUM
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 1:1014 S 169 HWY
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64089-9321
Mailing Address - Country:US
Mailing Address - Phone:816-532-2330
Mailing Address - Fax:816-532-2334
Practice Address - Street 1:1014 S 169 HWY
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089-9321
Practice Address - Country:US
Practice Address - Phone:816-532-2330
Practice Address - Fax:816-532-2334
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005030352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT44E206Medicare ID - Type Unspecified