1548585797 NPI number — DR. ALEXANDER CHARLES FRANK DC, DACNB

Table of content: DR. ALEXANDER CHARLES FRANK DC, DACNB (NPI 1548585797)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548585797 NPI number — DR. ALEXANDER CHARLES FRANK DC, DACNB

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANK
Provider First Name:
ALEXANDER
Provider Middle Name:
CHARLES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC, DACNB
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548585797
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9858 CLINT MOORE RD # C111-274
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33496-1034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-482-1144
Provider Business Mailing Address Fax Number:
561-482-1145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1507 BUENOS AIRES BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LADY LAKE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32159-8974
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-571-5155
Provider Business Practice Location Address Fax Number:
352-633-1396
Provider Enumeration Date:
03/31/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111NN0400X , with the licence number:  DC31069 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111NN0400X , with the licence number: CH10093 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)