Wrestler, Frank Alan

Wrestler, Frank Alan is an individual health care provider with primary practice located at 501 S 6Th St , Champaign IL 61820-5565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wrestler, Frank Alan can be contacted via phone (217) 355-8880.

Contact Information

Primary practice address
501 S 6Th St Champaign IL 61820-5565
Phone: (217) 355-8880
Fax: (217) 355-8883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0360640461 Illinois

Profile Details

NPI number 1720090707
LBN Legal business name Wrestler, Frank Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 10th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720090707 NPPES
Illinois MEDICAID 0360640461

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