Provider Demographics
NPI:1093707101
Name:PILATO, FRANK P (PAC)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:PILATO
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48450-8800
Mailing Address - Country:US
Mailing Address - Phone:810-359-2605
Mailing Address - Fax:810-359-2748
Practice Address - Street 1:5730 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MI
Practice Address - Zip Code:48450-8800
Practice Address - Country:US
Practice Address - Phone:810-359-2605
Practice Address - Fax:810-359-2748
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601003978363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIG46040119Medicare PIN
P76769Medicare UPIN
MIN73910016Medicare PIN