Provider Demographics
NPI:1588706451
Name:HIDEG, FRANK GEORGE (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:GEORGE
Last Name:HIDEG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-2822
Mailing Address - Country:US
Mailing Address - Phone:270-444-6774
Mailing Address - Fax:270-444-0162
Practice Address - Street 1:204 S 19TH ST
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-2822
Practice Address - Country:US
Practice Address - Phone:270-444-6774
Practice Address - Fax:270-444-0162
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014-R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYT54256Medicare UPIN
KY6011001Medicare ID - Type Unspecified