Healthcare Provider Details

I. General information

NPI: 1821247982
Provider Name (Legal Business Name): FRAN-TIC ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PLACKEMEIER DRIVE
O FALLON MO
63366-9515
US

IV. Provider business mailing address

PO BOX 1715
O FALLON MO
63366-9515
US

V. Phone/Fax

Practice location:
  • Phone: 636-281-8080
  • Fax: 636-281-2889
Mailing address:
  • Phone: 636-281-8080
  • Fax: 636-281-2889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCIS CARTWRIGHT
Title or Position: PRESIDENT
Credential:
Phone: 636-281-8080