Healthcare Provider Details

I. General information

NPI: 1124016795
Provider Name (Legal Business Name): FRANK JAMES MOLTHEN JR. DC, QME
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MOLTHEN CHIROPRACTIC & WELLNESS CENTER

II. Dates (important events)

Enumeration Date: 10/07/2005
Last Update Date: 09/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N KAWEAH AVE SUITE B
EXETER CA
93221-1271
US

IV. Provider business mailing address

506 N KAWEAH AVE SUITE B
EXETER CA
93221-1271
US

V. Phone/Fax

Practice location:
  • Phone: 559-592-9560
  • Fax: 559-592-9581
Mailing address:
  • Phone: 559-592-9560
  • Fax: 559-592-9581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11990
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: