1598791873 NPI number — FRANKLIN & SEIDELMANN MEDICAL CORP

Table of content: (NPI 1598791873)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598791873 NPI number — FRANKLIN & SEIDELMANN MEDICAL CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN & SEIDELMANN MEDICAL CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1598791873
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3700 PARK EAST DR
Provider Second Line Business Mailing Address:
3RD FLOOR
Provider Business Mailing Address City Name:
BEACHWOOD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44122-4305
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-236-2649
Provider Business Mailing Address Fax Number:
877-631-3043

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3700 PARK EAST DR
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
BEACHWOOD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44122-4305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-236-2649
Provider Business Practice Location Address Fax Number:
877-631-3043
Provider Enumeration Date:
06/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SEIDELMANN
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
E
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
216-256-6700

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CK5443 . This is a "RAILROAD MCR" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 807660701 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100094320 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1023248240001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7139827 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200939640 A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 229304 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 413791400 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 807660703 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2714567 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 807660702 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".




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