Provider Demographics
NPI:1326263922
Name:DENKINS, FRANK EDWARD SR (BACHELORS)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EDWARD
Last Name:DENKINS
Suffix:SR
Gender:M
Credentials:BACHELORS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8656 HERITAGE PLACE
Mailing Address - Street 2:UNIT #105
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-878-2919
Mailing Address - Fax:
Practice Address - Street 1:8656 HERITAGE PL
Practice Address - Street 2:UNIT #105
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-3779
Practice Address - Country:US
Practice Address - Phone:313-878-2919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI820152324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI820152Other820152