Provider Demographics
NPI:1083982391
Name:FRANKE, CHRISTOPHER SCOTT (PC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:FRANKE
Suffix:
Gender:M
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20250 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43045-9781
Mailing Address - Country:US
Mailing Address - Phone:937-645-9074
Mailing Address - Fax:
Practice Address - Street 1:16503 SQUARE DR
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-9557
Practice Address - Country:US
Practice Address - Phone:937-645-9074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0701144101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional