Provider Demographics
NPI:1043491509
Name:ALICIA J. FRANCO-IMPERIAL
Entity Type:Organization
Organization Name:ALICIA J. FRANCO-IMPERIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGAER/BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-733-9470
Mailing Address - Street 1:2241 S LINDEN RD
Mailing Address - Street 2:STE. B
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5458
Mailing Address - Country:US
Mailing Address - Phone:810-733-9470
Mailing Address - Fax:
Practice Address - Street 1:2241 S LINDEN RD
Practice Address - Street 2:SUITE B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5458
Practice Address - Country:US
Practice Address - Phone:810-733-9470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALICIA J. FRANCO-IMPERIAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301043430208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty