Provider Demographics
NPI:1710050901
Name:NAGY, ROBERT FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANK
Last Name:NAGY
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 1:8812 SEDGLEY DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-3355
Mailing Address - Country:US
Mailing Address - Phone:573-225-8587
Mailing Address - Fax:
Practice Address - Street 1:8812 SEDGLEY DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-3355
Practice Address - Country:US
Practice Address - Phone:573-225-8587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE006259111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO6568OtherBLUE CROSS AND BLUE SHIEL
MO759989908Medicaid
MO350040368OtherRAILROAD MEDICARE
MO350040368OtherRAILROAD MEDICARE
MOU51975Medicare UPIN