Frontera, John
Frontera, John is an individual health care provider with primary practice located at 1315 Jesse Jewell Parkway , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Frontera, John can be contacted via phone (770) 219-6520.Contact Information
Primary practice address
1315 Jesse Jewell Parkway
Gainesville GA 30501
Phone: (770) 219-6520
Fax: (770) 219-6521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD070263L | Pennsylvania |
Profile Details
| NPI number | 1194796268 |
|---|---|
| LBN Legal business name | Frontera, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194796268 | NPPES |
| Pennsylvania | MEDICAID | 0018031450003 | |
| Pennsylvania | MEDICAID | 000830541B | |
| Pennsylvania | Other | 443534 | |
| Pennsylvania | Other | 820123 | |
| Pennsylvania | Other | 20048652 | |
| Pennsylvania | Other | 58052 | |
| Pennsylvania | MEDICAID | 0018031450005 | |
| Pennsylvania | Other | 50057449 | |
| Pennsylvania | Other | 5686065 |
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