Healthcare Provider Details

I. General information

NPI: 1902834849
Provider Name (Legal Business Name): PAUL FRANKLIN CAIN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8060 MADISON AVE STE A
INDIANAPOLIS IN
46227-6002
US

IV. Provider business mailing address

8060 MADISON AVE STE A
INDIANAPOLIS IN
46227-6002
US

V. Phone/Fax

Practice location:
  • Phone: 317-882-0256
  • Fax: 317-882-0258
Mailing address:
  • Phone: 317-882-0256
  • Fax: 317-882-0258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number07000908A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: