1245279389 NPI number — DR. LEONARD ROBERT FRANK M.D.

Table of content: MS. ALICIA COLLINS LPC (NPI 1770909137)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245279389 NPI number — DR. LEONARD ROBERT FRANK M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANK
Provider First Name:
LEONARD
Provider Middle Name:
ROBERT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245279389
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 34036
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98124-1036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-899-3292
Provider Business Mailing Address Fax Number:
425-899-3269

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8980 161ST AVE NE
Provider Second Line Business Practice Location Address:
#410
Provider Business Practice Location Address City Name:
REDMOND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98052-7554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-883-3333
Provider Business Practice Location Address Fax Number:
425-869-4854
Provider Enumeration Date:
06/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  25MA11108000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207P00000X , with the licence number: MD00034704 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8940417 . This is a "WA CRIME VICTIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 204019 . This is a "WA L & I" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2188FR . This is a "REGENCE BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8211450 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: E91537 . This is a "GROUP HEALTH" identifier . This identifiers is of the category "OTHER".




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