Provider Demographics
NPI:1235237058
Name:FRAME, STEPHANIE L (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:L
Last Name:FRAME
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:26280-0247
Mailing Address - Country:US
Mailing Address - Phone:304-335-2050
Mailing Address - Fax:304-335-6158
Practice Address - Street 1:US ROUTES 219 250
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WV
Practice Address - Zip Code:26280-0247
Practice Address - Country:US
Practice Address - Phone:304-335-2050
Practice Address - Fax:304-335-6158
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1676207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1676OtherWV LICENSE
WVOF1644OtherREG WV BD OF OSTEOPATHY
WV001710220OtherMTN STATE BC/BS PAY TO 1
WV1802218000Medicaid
WV000513728OtherMTN STATE BC/BS SERVICE
P00645274OtherRAILROAD MEDICARE PTAN
WV001967346OtherMTN STATE BC/BS PAY TO 2
WV1054069OtherBRICKSTREET W. COMP
WV8012382OtherCARELINK
WV8012382OtherCARELINK
WV1676OtherWV LICENSE
WV1802218000Medicaid