Provider Demographics
NPI:1902834849
Name:CAIN, PAUL FRANKLIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FRANKLIN
Last Name:CAIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8060 MADISON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-6002
Mailing Address - Country:US
Mailing Address - Phone:317-882-0256
Mailing Address - Fax:317-882-0258
Practice Address - Street 1:8060 MADISON AVE STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-6002
Practice Address - Country:US
Practice Address - Phone:317-882-0256
Practice Address - Fax:317-882-0258
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000908A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200278350Medicaid
INU81924Medicare UPIN
IN185110BMedicare ID - Type Unspecified