Provider Demographics
NPI:1093752966
Name:SAILORS, FRANK G (DOCTOR OF OSTEOPATHY)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:SAILORS
Suffix:
Gender:M
Credentials:DOCTOR OF OSTEOPATHY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 MCMACKIN RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-2330
Mailing Address - Country:US
Mailing Address - Phone:440-428-1111
Mailing Address - Fax:440-428-0709
Practice Address - Street 1:2999 MCMACKIN RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2330
Practice Address - Country:US
Practice Address - Phone:440-428-1111
Practice Address - Fax:440-428-0709
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340028845207Q00000X
IA01760207Q00000X
AZ2279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0399288Medicaid
SA0463703Medicare ID - Type Unspecified
OH0399288Medicaid