Provider Demographics
NPI:1528135563
Name:BATH CHIROPRACTIC PC
Entity type:Organization
Organization Name:BATH CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FRANKIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:607-776-2741
Mailing Address - Street 1:6723 STATE ROUTE 415
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-7709
Mailing Address - Country:US
Mailing Address - Phone:607-776-2741
Mailing Address - Fax:607-776-0061
Practice Address - Street 1:6723 SR 415
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810
Practice Address - Country:US
Practice Address - Phone:607-776-2741
Practice Address - Fax:607-776-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA0323Medicare PIN