Provider Demographics
NPI:1851306419
Name:MRAZECK, FRANK JOSEPH JR (DC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:JOSEPH
Last Name:MRAZECK
Suffix:JR
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 1:1540 SAVANNAH RD STE B
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1682
Mailing Address - Country:US
Mailing Address - Phone:302-644-2473
Mailing Address - Fax:302-644-2473
Practice Address - Street 1:1540 SAVANNAH RD STE B
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1682
Practice Address - Country:US
Practice Address - Phone:302-644-2473
Practice Address - Fax:302-644-1836
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000905111N00000X
CADG26782111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor