Provider Demographics
NPI:1326126442
Name:WEINHOLT, FRANK E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:WEINHOLT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:128 RIDGEDALE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-2017
Mailing Address - Country:US
Mailing Address - Phone:318-322-8462
Mailing Address - Fax:318-329-4273
Practice Address - Street 1:128 RIDGEDALE DR
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-2017
Practice Address - Country:US
Practice Address - Phone:318-322-8462
Practice Address - Fax:318-329-4273
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA06776R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1350401Medicaid
LA1350401Medicaid
LAC67329Medicare UPIN