Healthcare Provider Details

I. General information

NPI: 1073655999
Provider Name (Legal Business Name): DR. FRANK C BEMIS & ASSOCIATES, CHIROPRACTORS, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 HUMBERT RD
ALTON IL
62012
US

IV. Provider business mailing address

4105 HUMBERT RD
ALTON IL
62002
US

V. Phone/Fax

Practice location:
  • Phone: 618-463-1600
  • Fax: 618-463-1624
Mailing address:
  • Phone: 618-463-1600
  • Fax: 618-463-1624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: FRANK C BEMIS
Title or Position: DC
Credential:
Phone: 618-463-1600