=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063659357
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPHEN J FRANCIS, MD, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2009
-----------------------------------------------------
Last Update Date | 06/29/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3033 STATE RD SUITE 204
-----------------------------------------------------
City | CUYAHOGA FALLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44223-3614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-253-9727
-----------------------------------------------------
Fax | 330-920-3124
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3033 STATE RD SUITE 204
-----------------------------------------------------
City | CUYAHOGA FALLS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44223-3614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-253-9727
-----------------------------------------------------
Fax | 330-920-3124
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | STEPHEN J FRANCIS
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 330-253-9727
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0200X
-----------------------------------------------------
Taxonomy Name | Infectious Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------