MEDICARE: EARL A FRANTZ D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2013-01946	NC
2	207QS0010X	Sports Medicine (Family Medicine) Physician	2013-01946	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2013-01946	OTHER	NC	NORTH CAROLINA MEDICAL BOARD

General Provider Information

NPI Number	:	1770574022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EARL A FRANTZ D.O.

Provider Business Mailing Address
First Line	:	PO BOX 5105
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5100
Country	:	US
Telephone Number	:	910-332-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3714 GUARDIAN AVE STE E
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2975
Country	:	US
Telephone Number	:	252-247-2101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	12/12/2023

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