Provider Demographics
NPI:1780743658
Name:IULIANELLI, FRANK JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JAMES
Last Name:IULIANELLI
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 1:2061 MARIE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-2801
Mailing Address - Country:US
Mailing Address - Phone:248-391-9913
Mailing Address - Fax:
Practice Address - Street 1:2523 SOUTH LAPEER ROAD
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360
Practice Address - Country:US
Practice Address - Phone:248-393-1211
Practice Address - Fax:248-393-1217
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIFI006139OtherBLUE CROSS OF MICHIGAN
MIU62207Medicare ID - Type Unspecified
MI0M27470Medicare ID - Type Unspecified