Provider Demographics
NPI:1902994767
Name:FRANK, ERIC LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LAWRENCE
Last Name:FRANK
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 1:4455 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2830
Mailing Address - Country:US
Mailing Address - Phone:850-433-9337
Mailing Address - Fax:850-433-4306
Practice Address - Street 1:4455 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2830
Practice Address - Country:US
Practice Address - Phone:850-433-9337
Practice Address - Fax:850-433-4306
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22328ZMedicare PIN
FLT87719Medicare UPIN