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NPI Code Detail

MEDICARE: EARL B. FRANKLIN PA C

MEDICARE: EARL B. FRANKLIN PA C
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
1363A00000XPhysician AssistantPA10003182WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
252055OTHERWAREGENCE
35857FROTHERWABSWA
4605960012OTHERUSDLAB
50230089OTHERWAL&I AND CRIME VICTIMS

General Provider Information

NPI Number : 1699774661
Entity Type Code : Individual
Provider Name (Legal Business Name) : EARL B. FRANKLIN PA C
Provider Business Mailing Address
First Line : 1345 KING ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-6223
Country : US
Telephone Number : 360-676-1696
Fax Number : 360-676-6636
Provider Business Practice Location Address
First Line : 1345 KING ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-6223
Country : US
Telephone Number : 360-676-1696
Fax Number : 360-676-6636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 06/21/2016

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Directions to “ EARL B. FRANKLIN PA C” Practice Location

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