MEDICARE: INGRID FRANK PROSTHETICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	345454IN	OTHER	MA	BCBS OF MASS.
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	803245	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1285637934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INGRID FRANK PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	110 BACON ST
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-2905
Country	:	US
Telephone Number	:	508-655-6698
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 BACON ST
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-2905
Country	:	US
Telephone Number	:	508-655-6698
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. INGRID FRANK
Credential	:	C.P., CMF
Telephone Number	:	508-655-6698

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/27/2009

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