Provider Demographics
NPI:1093838138
Name:INFRANCA, FRANK J (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:INFRANCA
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 1:6220 N GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118-5016
Mailing Address - Country:US
Mailing Address - Phone:816-569-6668
Mailing Address - Fax:
Practice Address - Street 1:6651 N OAK TRFY
Practice Address - Street 2:SUITE 10
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-3332
Practice Address - Country:US
Practice Address - Phone:816-569-2668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO4106111N00000X
MO004106332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment