Healthcare Provider Details

I. General information

NPI: 1871924613
Provider Name (Legal Business Name): RICHARD FRANKENBERG B.S., BC-HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2013
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 NEIL AVE SUITE #120
COLUMBUS OH
43215-7309
US

IV. Provider business mailing address

262 NEIL AVE SUITE #120
COLUMBUS OH
43215-7309
US

V. Phone/Fax

Practice location:
  • Phone: 614-626-9428
  • Fax:
Mailing address:
  • Phone: 614-626-9428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number03175
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: