Provider Demographics
NPI:1457378291
Name:DR. JASON E. FRANKEL MUSCULOSKELETAL THERAPY & REHABILITATION, INC.
Entity Type:Organization
Organization Name:DR. JASON E. FRANKEL MUSCULOSKELETAL THERAPY & REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-675-9500
Mailing Address - Street 1:30 W AVON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3678
Mailing Address - Country:US
Mailing Address - Phone:860-675-9500
Mailing Address - Fax:860-675-9600
Practice Address - Street 1:30 W AVON RD
Practice Address - Street 2:SUITE B
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3678
Practice Address - Country:US
Practice Address - Phone:860-675-9500
Practice Address - Fax:860-675-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTV08776Medicare UPIN
CTC03495Medicare PIN