Provider Demographics
NPI:1619398765
Name:JOHN FRANKLIN, M.D., P.C.
Entity Type:Organization
Organization Name:JOHN FRANKLIN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-774-9655
Mailing Address - Street 1:9003 HAVENSIGHT SHOPP CTR
Mailing Address - Street 2:BUILDING III, CUITE 301
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2666
Mailing Address - Country:US
Mailing Address - Phone:340-774-9655
Mailing Address - Fax:340-774-9646
Practice Address - Street 1:9003 HAVENSIGHT SHOPP CTR
Practice Address - Street 2:BUILDING 111, SUITE 301
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2666
Practice Address - Country:US
Practice Address - Phone:340-774-9655
Practice Address - Fax:340-774-9646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1111208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIF84289Medicare UPIN