Provider Demographics
NPI:1720020704
Name:CLINE, FRANKLIN S JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:S
Last Name:CLINE
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 HOWE AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-5507
Mailing Address - Country:US
Mailing Address - Phone:916-599-6471
Mailing Address - Fax:
Practice Address - Street 1:440 HOWE AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-5507
Practice Address - Country:US
Practice Address - Phone:916-599-6471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103999363A00000X
CAPA15834363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
P51435Medicare UPIN
2763118Medicare ID - Type Unspecified