Provider Demographics
NPI:1972541100
Name:MITCHELL, FRANK S (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:S
Last Name:MITCHELL
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:PO BOX 461
Mailing Address - Street 2:530 S EGG HARBOR RD, STE. B
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-0461
Mailing Address - Country:US
Mailing Address - Phone:609-567-4884
Mailing Address - Fax:609-567-8665
Practice Address - Street 1:530 S EGG HARBOR RD
Practice Address - Street 2:SUITE B
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-3341
Practice Address - Country:US
Practice Address - Phone:609-567-4884
Practice Address - Fax:609-567-8664
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00190300111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ434395Medicare ID - Type Unspecified
NJT44943Medicare UPIN