Provider Demographics
NPI:1831488717
Name:DR FRANKIE AMARILLAS DC LLC
Entity Type:Organization
Organization Name:DR FRANKIE AMARILLAS DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARILLAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-370-7342
Mailing Address - Street 1:2718 E 53RD ST APT 7
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3805
Mailing Address - Country:US
Mailing Address - Phone:563-370-7342
Mailing Address - Fax:
Practice Address - Street 1:5260 NORTHWEST BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-2463
Practice Address - Country:US
Practice Address - Phone:563-391-2673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty