Provider Demographics
NPI:1881852143
Name:ANDERSON, FRANK (DC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:ANDERSON
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 1:1135 CLIFTON AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3643
Mailing Address - Country:US
Mailing Address - Phone:973-928-3575
Mailing Address - Fax:973-928-3574
Practice Address - Street 1:1135 CLIFTON AVE STE 105
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3643
Practice Address - Country:US
Practice Address - Phone:973-928-3575
Practice Address - Fax:973-928-3574
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009207111N00000X
NJ38MC00558600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor