Provider Demographics
NPI:1538181896
Name:DEFALCO, FRANCIS (DC)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:DEFALCO
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 1:32 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2429
Mailing Address - Country:US
Mailing Address - Phone:508-407-8809
Mailing Address - Fax:888-648-5635
Practice Address - Street 1:32 AUBURN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2429
Practice Address - Country:US
Practice Address - Phone:508-407-8809
Practice Address - Fax:888-648-5635
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36707OtherBCBSMA
MA351168OtherHARVARD PILGRIM HEALTH
MA407379OtherBCBSRI BLUE CHIP
MA0000029893OtherBCBSRI
MA4400646OtherUNITED HEALTHCARE
MAY36707OtherBCBSMA
MAU79926Medicare UPIN