Provider Demographics
NPI:1962539460
Name:FRANK E. DEL SANDRO,D.C.
Entity type:Organization
Organization Name:FRANK E. DEL SANDRO,D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DEL SANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-868-7536
Mailing Address - Street 1:1123 W 38TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2457
Mailing Address - Country:US
Mailing Address - Phone:814-868-7536
Mailing Address - Fax:814-868-9888
Practice Address - Street 1:1123 W 38TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2457
Practice Address - Country:US
Practice Address - Phone:814-868-7536
Practice Address - Fax:814-868-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003190L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA117663Medicare ID - Type Unspecified