Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.036129 | OH |
NPI | 1003041864 |
---|---|
Provider Name | Ms. Deborah K. Franley |
First Address | Jefferson, OH 44047 |
Second Address | Jefferson, OH 44047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2009 |
Last Update Date | 22/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0289861 | (05) | OH |
A75635 | (02) |