Healthcare Provider Details

I. General information

NPI: 1093838138
Provider Name (Legal Business Name): FRANK J INFRANCA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 01/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6651 N OAK TRFY SUITE 10
GLADSTONE MO
64118-3332
US

IV. Provider business mailing address

6220 N GARFIELD AVE
GLADSTONE MO
64118-5016
US

V. Phone/Fax

Practice location:
  • Phone: 816-569-2668
  • Fax:
Mailing address:
  • Phone: 816-569-6668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4106
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number004106
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: