Healthcare Provider Details

I. General information

NPI: 1417436965
Provider Name (Legal Business Name): STEVEN C FRANKLIN CPED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 VIKING DR STE E
VIRGINIA BEACH VA
23452-7323
US

IV. Provider business mailing address

509 VIKING DR STE E
VIRGINIA BEACH VA
23452-7323
US

V. Phone/Fax

Practice location:
  • Phone: 757-275-8050
  • Fax: 888-600-5328
Mailing address:
  • Phone: 757-275-8050
  • Fax: 888-600-5328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224L00000X
TaxonomyPedorthist
License NumberCPED4422
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: