Provider Demographics
NPI:1689317307
Name:DONOVAN, FRANKIE (DC)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:DONOVAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4845 TRANSIT RD APT A11
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4927
Mailing Address - Country:US
Mailing Address - Phone:609-464-4317
Mailing Address - Fax:
Practice Address - Street 1:5820 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8283
Practice Address - Country:US
Practice Address - Phone:716-410-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor