Provider Demographics
NPI:1801967419
Name:HOMER, FRANCES MAXWELL (DC)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MAXWELL
Last Name:HOMER
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 1:633 BATTLEFIELD BLVD S
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-4800
Mailing Address - Country:US
Mailing Address - Phone:757-233-4790
Mailing Address - Fax:
Practice Address - Street 1:7575 SOQUEL DRIVE
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003
Practice Address - Country:US
Practice Address - Phone:831-688-5156
Practice Address - Fax:831-661-0228
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557545111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ66306ZOtherBLUE SHIELD
ZZZ66306ZOtherBLUE SHIELD
DC0149870Medicare ID - Type Unspecified