Provider Demographics
NPI:1306805502
Name:SITZMANN, FRANK ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ALLEN
Last Name:SITZMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1607 WOODRUFF RD # 2
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6910
Mailing Address - Country:US
Mailing Address - Phone:864-458-8888
Mailing Address - Fax:864-458-8848
Practice Address - Street 1:1607 WOODRUFF RD, #2
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5928
Practice Address - Country:US
Practice Address - Phone:864-458-8888
Practice Address - Fax:864-458-8848
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU57410Medicare UPIN