=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457652067
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. FRANK A. RICH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/12/2010
-----------------------------------------------------
Last Update Date | 12/05/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 920 TRAILWOOD DR
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-5007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-8331
-----------------------------------------------------
Fax | 330-758-3818
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 920 TRAILWOOD DR
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-5007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-8331
-----------------------------------------------------
Fax | 330-758-3818
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. FRANK A. RICH
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 330-758-8331
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 34002770
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------