Provider Demographics
NPI:1649232935
Name:DEMINT, FRANKLIN D (D O)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:D
Last Name:DEMINT
Suffix:
Gender:M
Credentials:D O
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 646
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45644-0646
Mailing Address - Country:US
Mailing Address - Phone:740-642-4154
Mailing Address - Fax:740-642-4156
Practice Address - Street 1:11 WARREN DR
Practice Address - Street 2:POB 646
Practice Address - City:KINGSTON
Practice Address - State:OH
Practice Address - Zip Code:45644-9798
Practice Address - Country:US
Practice Address - Phone:740-642-4154
Practice Address - Fax:740-642-4156
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005493D207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0190765OtherUNITED HC PROVIDER NUMBER
OH311628886OtherOH OP ENG PROVIDER NUMBER
OH5806687OtherCIGNA PROVIDER NUMBER
OH000000122681OtherABCS PROVIDER NUMBER
OH0713626OtherMEDIGOLD
OH311628886OtherCENTRAL BENEFITS PROVIDER
OH0873345Medicaid
OH4588066OtherAETNA PROVIDER NUMBER
OH0713626Medicare PIN
OH311628886OtherOH OP ENG PROVIDER NUMBER