Provider Demographics
NPI:1922144005
Name:FRAME, PAUL EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:EDWARD
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 1:3330 S PRICE RD # D-110
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7530
Mailing Address - Country:US
Mailing Address - Phone:480-345-2080
Mailing Address - Fax:480-345-2199
Practice Address - Street 1:3330 S PRICE RD # D-110
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7530
Practice Address - Country:US
Practice Address - Phone:480-345-2080
Practice Address - Fax:480-345-2199
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5955111N00000X
AZ3555111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ216969OtherDBA
AZ0249010OtherBLUECROSS BLUESHIELD
AS860961762OtherTAX ID #
AZ3555OtherPHYIOTHERAPY LICENSE #
AZ5955OtherCHIROPRACTIC LICENSE #
AZ5955OtherCHIROPRACTIC LICENSE #
AZ28398Medicare ID - Type Unspecified