Provider Demographics
NPI:1104514918
Name:FRANKART, MAYGAN MARIE
Entity type:Individual
Prefix:MRS
First Name:MAYGAN
Middle Name:MARIE
Last Name:FRANKART
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MAYGAN
Other - Middle Name:MARIE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:366 S WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-3007
Mailing Address - Country:US
Mailing Address - Phone:419-447-1861
Mailing Address - Fax:419-447-1498
Practice Address - Street 1:366 S WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-3007
Practice Address - Country:US
Practice Address - Phone:419-447-1861
Practice Address - Fax:419-447-1498
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2539111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor