Healthcare Provider Details

I. General information

NPI: 1164531240
Provider Name (Legal Business Name): FRANK ALFIERI III D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3484 BLUE STAR MEM HWY
SAUGATUCK MI
49453-1016
US

IV. Provider business mailing address

PO BOX 1016
SAUGATUCK MI
49453-1016
US

V. Phone/Fax

Practice location:
  • Phone: 269-857-1000
  • Fax: 269-857-2225
Mailing address:
  • Phone: 269-857-1000
  • Fax: 269-857-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301004370
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: