Individual provider Active NPI

Robert Frank

  • Independent Duty Corpsman
  • Cheboygan, MI
National Provider Identifier
1073603817
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
632 Coast Guard Dr
Uscgc Mackinaw WLBB 30
Cheboygan, MI 49721
Phone
(231) 597-2030
Fax
(231) 597-2039
NPI assigned
Oct 13, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X NU Primary

Addresses

Primary practice location

632 Coast Guard Dr
Uscgc Mackinaw WLBB 30
Cheboygan, MI 49721

Mailing address

632 Coast Guard Dr
Uscgc Mackinaw WLBB 30
Cheboygan, MI 49721
Phone (231) 597-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1073603817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 COAST GUARD DR",
            "address_2": "USCGC MACKINAW WLBB 30",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-597-2030",
            "fax_number": "231-597-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 COAST GUARD DR",
            "address_2": "USCGC MACKINAW WLBB 30",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-597-2030",
            "fax_number": "231-597-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.