Provider Demographics
NPI:1013150812
Name:FRANCKE, DOMINIQUE ANTOINETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:DOMINIQUE
Middle Name:ANTOINETTE
Last Name:FRANCKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 CORPORATE DR STE C5
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-2126
Mailing Address - Country:US
Mailing Address - Phone:949-429-8787
Mailing Address - Fax:
Practice Address - Street 1:1701 CORPORATE DR STE C5
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2126
Practice Address - Country:US
Practice Address - Phone:949-429-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22336111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician