Provider Demographics
NPI:1437483617
Name:JONATHAN FRANCES, DO,LLC
Entity Type:Organization
Organization Name:JONATHAN FRANCES, DO,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRANCES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:812-254-2400
Mailing Address - Street 1:1401 MEMORIAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-3153
Mailing Address - Country:US
Mailing Address - Phone:812-254-2400
Mailing Address - Fax:812-254-3191
Practice Address - Street 1:1401 MEMORIAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-3153
Practice Address - Country:US
Practice Address - Phone:812-254-2400
Practice Address - Fax:812-254-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002470207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200957660Medicaid
IN265260Medicare PIN