Provider Demographics
NPI:1184729444
Name:BISHOFBERGER, FRANK JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JAMES
Last Name:BISHOFBERGER
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 1:2011 REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3228
Mailing Address - Country:US
Mailing Address - Phone:707-252-0477
Mailing Address - Fax:707-252-0209
Practice Address - Street 1:2011 REDWOOD ROAD
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3228
Practice Address - Country:US
Practice Address - Phone:707-252-0477
Practice Address - Fax:707-252-0209
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA94-2228634OtherBLUE CROSS/BLUE SHIELD
CA94-2228634OtherASHP
CA94-2228634OtherBLUE CROSS/BLUE SHIELD