1437838653 NPI number — BREANNA MARIE FRANKMAN DPT

Table of content: BREANNA MARIE FRANKMAN DPT (NPI 1437838653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437838653 NPI number — BREANNA MARIE FRANKMAN DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKMAN
Provider First Name:
BREANNA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALLEN
Provider Other First Name:
BREANNA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437838653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
790 REMINGTON BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOLINGBROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60440-4909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2380 8TH AVE STE 8&9
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLATTSMOUTH
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68048-2367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-296-3433
Provider Business Practice Location Address Fax Number:
402-296-3531
Provider Enumeration Date:
07/14/2023

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: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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