Provider Demographics
NPI:1821217290
Name:FRANTZ, RUTH ELLEN (CERT ACUPUNCTURIST)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ELLEN
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:CERT ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 N GOVERNMENT WAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-3790
Mailing Address - Country:US
Mailing Address - Phone:208-664-4523
Mailing Address - Fax:208-664-4444
Practice Address - Street 1:3115 N GOVERNMENT WAY
Practice Address - Street 2:SUITE 5
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-3790
Practice Address - Country:US
Practice Address - Phone:208-664-4523
Practice Address - Fax:208-664-4444
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDACC88171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist