Provider Demographics
NPI:1881629822
Name:FRANTZ, JOSHUA (BC-HIS)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:FRANTZ
Suffix:
Gender:M
Credentials:BC-HIS
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 3182
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-3182
Mailing Address - Country:US
Mailing Address - Phone:530-893-4327
Mailing Address - Fax:530-343-4088
Practice Address - Street 1:572 RIO LINDO AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1851
Practice Address - Country:US
Practice Address - Phone:530-893-4327
Practice Address - Fax:530-343-4088
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3996237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA0039960Medicaid
CAHA3996OtherHEARING AID DISPENSER LIC