Healthcare Provider Details

I. General information

NPI: 1558486720
Provider Name (Legal Business Name): FRANK EDWARD TARQUINI DOCTOR OF CHIROPRACT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 BALTIMORE BLVD
FINKSBURG MD
21048
US

IV. Provider business mailing address

2400 BALTIMORE BLVD
FINKSBURG MD
21048
US

V. Phone/Fax

Practice location:
  • Phone: 410-833-7222
  • Fax: 410-833-6179
Mailing address:
  • Phone: 410-833-7222
  • Fax: 410-833-6179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS01882
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: