Healthcare Provider Details

I. General information

NPI: 1225046329
Provider Name (Legal Business Name): JONATHAN E FRANCES D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MEMORIAL AVE STE B
WASHINGTON IN
47501-3154
US

IV. Provider business mailing address

1401 MEMORIAL AVE STE B
WASHINGTON IN
47501-3154
US

V. Phone/Fax

Practice location:
  • Phone: 812-254-2400
  • Fax: 812-254-3191
Mailing address:
  • Phone: 812-254-2400
  • Fax: 812-254-3191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number02002470A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: