Healthcare Provider Details

I. General information

NPI: 1851306419
Provider Name (Legal Business Name): FRANK JOSEPH MRAZECK JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SAVANNAH RD STE B
LEWES DE
19958-1682
US

IV. Provider business mailing address

1540 SAVANNAH RD STE B
LEWES DE
19958-1682
US

V. Phone/Fax

Practice location:
  • Phone: 302-644-2473
  • Fax: 302-644-1836
Mailing address:
  • Phone: 302-644-2473
  • Fax: 302-644-2473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0000905
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDG26782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: