Frantz, Alex W

Frantz, Alex W is an individual health care provider with primary practice located at 1111 Trinity Ln Suite 111, Bloomington IL 61704-8111. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Frantz, Alex W can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Ln Suite 111 Bloomington IL 61704-8111
Phone: (309) 663-6461
Fax: (309) 663-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004844 Illinois

Profile Details

NPI number 1801224605
LBN Legal business name Frantz, Alex W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2013
Last updated Oct 27th, 2021 - about 5 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 1801224605 NPPES
Illinois Other 085.004844 STATE LICENSE

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