Provider Demographics
NPI:1831110048
Name:FRAME, MICKEY E (DC)
Entity Type:Individual
Prefix:DR
First Name:MICKEY
Middle Name:E
Last Name:FRAME
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 1:3829 WOODLEY RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1171
Mailing Address - Country:US
Mailing Address - Phone:419-475-9355
Mailing Address - Fax:419-841-9537
Practice Address - Street 1:3829 WOODLEY RD BLDG A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1171
Practice Address - Country:US
Practice Address - Phone:419-475-9355
Practice Address - Fax:419-841-9537
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC 1400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0853830Medicaid
OH000000485226OtherANTHEM
OH01565OtherPARAMOUNT
OH0853830Medicaid
OHT48784Medicare UPIN