Firestone, Franklin
Firestone, Franklin is an individual health care provider with primary practice located at 3777 North Frontage Road , Michigan City IN 46360-7694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Firestone, Franklin can be contacted via phone (219) 879-6021.Contact Information
Primary practice address
3777 North Frontage Road
Michigan City IN 46360-7694
Phone: (219) 879-6021
Fax: (219) 879-6365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01035507A | Indiana |
Profile Details
| NPI number | 1164492245 |
|---|---|
| LBN Legal business name | Firestone, Franklin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Oct 25th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164492245 | NPPES |
| Indiana | Other | M400038801 | MEDICARE PTAN |
| Indiana | MEDICAID | 100085090 | MEDICARE PTAN |
| Indiana | Other | 000000704703 | MEDICARE PTAN |
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