Provider Demographics
NPI:1407953870
Name:FRANKLIN, JOHN ROLAND (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ROLAND
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7817
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-0817
Mailing Address - Country:US
Mailing Address - Phone:340-774-9655
Mailing Address - Fax:340-774-9646
Practice Address - Street 1:9003 HAVENSIGHT
Practice Address - Street 2:SUITE 301
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-9655
Practice Address - Fax:340-774-9646
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1111208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI0020267Medicare ID - Type Unspecified
F84289Medicare UPIN