Healthcare Provider Details

I. General information

NPI: 1922156090
Provider Name (Legal Business Name): DONALD RAYMOND FRANKLIN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6966 HEISLEY RD SUITE F
MENTOR OH
44060-4593
US

IV. Provider business mailing address

36 CASEMENT AVE
PAINESVILLE OH
44077-3823
US

V. Phone/Fax

Practice location:
  • Phone: 440-974-8557
  • Fax: 440-255-6337
Mailing address:
  • Phone: 440-392-2113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2363
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: