Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 12293 | WV |
NPI | 1013910421 |
---|---|
Provider Name | Dr. Paul Frederick Francke |
First Address | Charleston, WV 25301-1864 |
Second Address | Charleston, WV 25301-1864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 19/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0096899000 | (05) | WV |
A72230 | (02) | WV |