Provider Demographics
NPI:1912308768
Name:CULBERTSON, FRANCES (DC)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:CULBERTSON
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 1:2600 RANDY AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-4524
Mailing Address - Country:US
Mailing Address - Phone:864-978-1354
Mailing Address - Fax:
Practice Address - Street 1:8995 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-8900
Practice Address - Country:US
Practice Address - Phone:651-748-5731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor