Provider Demographics
NPI:1952351421
Name:WAIN, FRANCES D (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:D
Last Name:WAIN
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 1:1262 WOOD LN
Mailing Address - Street 2:205
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047
Mailing Address - Country:US
Mailing Address - Phone:215-750-3332
Mailing Address - Fax:215-750-2792
Practice Address - Street 1:1262 WOOD LN
Practice Address - Street 2:205
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-750-3332
Practice Address - Fax:215-750-2792
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005463L111N00000X
DEF10000385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA178119101Medicaid
PA133153OtherBCBS
PA002782Medicare ID - Type Unspecified
PA178119101Medicaid