Healthcare Provider Details

I. General information

NPI: 1558805085
Provider Name (Legal Business Name): FRANK PROFESSIONAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2016
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S 70TH STREET, SUITE 101
LINCOLN NE
68510
US

IV. Provider business mailing address

333 S 70TH STREET, SUITE 101
LINCOLN NE
68510-2403
US

V. Phone/Fax

Practice location:
  • Phone: 402-486-3737
  • Fax:
Mailing address:
  • Phone: 402-486-3737
  • Fax: 402-486-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number021
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number193
License Number StateNE

VIII. Authorized Official

Name: LESLIE FRANK
Title or Position: OWNER/AUDIOLOGIST
Credential: MS, CCC-A
Phone: 402-486-3737