Provider Demographics
NPI:1326492364
Name:FRANK INSTITUTE FOR HEALTH AND WELLNESS PLLC
Entity Type:Organization
Organization Name:FRANK INSTITUTE FOR HEALTH AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:HARRISON
Authorized Official - Middle Name:G
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-679-8534
Mailing Address - Street 1:1630 MILITARY CUTOFF RD
Mailing Address - Street 2:SUITE#104
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-5719
Mailing Address - Country:US
Mailing Address - Phone:910-679-8534
Mailing Address - Fax:910-679-8535
Practice Address - Street 1:1630 MILITARY CUTOFF RD
Practice Address - Street 2:SUITE#104
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-5719
Practice Address - Country:US
Practice Address - Phone:910-679-8534
Practice Address - Fax:910-679-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01636207Q00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty