Provider Demographics
NPI:1285637934
Name:INGRID FRANK PROSTHETICS, INC.
Entity Type:Organization
Organization Name:INGRID FRANK PROSTHETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:CP, CMF
Authorized Official - Phone:508-655-6698
Mailing Address - Street 1:110 BACON ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2905
Mailing Address - Country:US
Mailing Address - Phone:508-655-6698
Mailing Address - Fax:
Practice Address - Street 1:110 BACON ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2905
Practice Address - Country:US
Practice Address - Phone:508-655-6698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA345454INOtherBCBS OF MASS.
MA1523147Medicaid
MA803245OtherTUFTS HEALTH PLAN
MA0133460001Medicare NSC