Provider Demographics
NPI:1407185630
Name:VOSTATEK, FRANKLIN JAY (RPH, MBA, MSN, FNP)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:JAY
Last Name:VOSTATEK
Suffix:
Gender:M
Credentials:RPH, MBA, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 MCLISTER AVE
Mailing Address - Street 2:
Mailing Address - City:MINGO JUNCTION
Mailing Address - State:OH
Mailing Address - Zip Code:43938-1259
Mailing Address - Country:US
Mailing Address - Phone:614-886-1673
Mailing Address - Fax:
Practice Address - Street 1:116 MCLISTER AVE
Practice Address - Street 2:
Practice Address - City:MINGO JUNCTION
Practice Address - State:OH
Practice Address - Zip Code:43938-1259
Practice Address - Country:US
Practice Address - Phone:614-886-1673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-23895183500000X
OHCOA.16767-NP363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No183500000XPharmacy Service ProvidersPharmacist
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health