Provider Demographics
NPI:1881860369
Name:FRONCZAK CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:FRONCZAK CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:FRONCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-924-1880
Mailing Address - Street 1:6280 ROUTE 96
Mailing Address - Street 2:SUITE C
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1408
Mailing Address - Country:US
Mailing Address - Phone:585-924-1880
Mailing Address - Fax:585-924-8654
Practice Address - Street 1:6280 ROUTE 96
Practice Address - Street 2:SUITE C
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1408
Practice Address - Country:US
Practice Address - Phone:585-924-1880
Practice Address - Fax:585-924-8654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009579-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty