Wrestler, Frank Alan
Wrestler, Frank Alan is an individual health care provider with primary practice located at 501 S 6Th St , Champaign IL 61820-5565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wrestler, Frank Alan can be contacted via phone (217) 355-8880.Contact Information
Primary practice address
501 S 6Th St
Champaign IL 61820-5565
Phone: (217) 355-8880
Fax: (217) 355-8883
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0360640461 | Illinois |
Profile Details
NPI number | 1720090707 |
---|---|
LBN Legal business name | Wrestler, Frank Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Apr 10th, 2008 - about 16 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 | 1720090707 | NPPES |
Illinois | MEDICAID | 0360640461 |
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