Provider Demographics
NPI:1447330733
Name:RONDINELLI, FRANK (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:RONDINELLI
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 1:112 JACKSON STREET
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5045
Mailing Address - Country:US
Mailing Address - Phone:978-683-4410
Mailing Address - Fax:978-683-4416
Practice Address - Street 1:112 JACKSON STREET
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5045
Practice Address - Country:US
Practice Address - Phone:978-683-4410
Practice Address - Fax:978-683-4416
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH2398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U74403Medicare UPIN
445427Medicare ID - Type Unspecified