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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1164492245 NPPES
Indiana Other M400038801 MEDICARE PTAN
Indiana MEDICAID 100085090 MEDICARE PTAN
Indiana Other 000000704703 MEDICARE PTAN

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