MEDICARE: FRANS BYVANK CPO

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	222Z00000X	Orthotist	LPO14	OH
2	224P00000X	Prosthetist	LPO14	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871834309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANS BYVANK CPO

Provider Business Mailing Address
First Line	:	271 CLINE AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-1042
Country	:	US
Telephone Number	:	419-756-6226
Fax Number	:	419-756-7737

Provider Business Practice Location Address
First Line	:	271 CLINE AVE
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-1042
Country	:	US
Telephone Number	:	419-756-6226
Fax Number	:	419-756-7737

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

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	03/07/2013

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Directions to “ FRANS BYVANK CPO” Practice Location

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