Healthcare Provider Details

I. General information

NPI: 1770575268
Provider Name (Legal Business Name): THOMAS MICHAEL FRANK M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 PLANK RD SUITE 206
FREDERICKSBURG VA
22401-5168
US

IV. Provider business mailing address

1931 PLANK RD SUITE 206
FREDERICKSBURG VA
22401-5168
US

V. Phone/Fax

Practice location:
  • Phone: 540-371-3277
  • Fax: 866-350-4441
Mailing address:
  • Phone: 540-371-3277
  • Fax: 866-350-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201000150
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2101000334
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: