Provider Demographics
NPI:1922098144
Name:DR. FRANK J. STEFANEC, INC.
Entity Type:Organization
Organization Name:DR. FRANK J. STEFANEC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEFANEC
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-726-1689
Mailing Address - Street 1:3234 OLDE WINTER TRL
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-2892
Mailing Address - Country:US
Mailing Address - Phone:330-726-1689
Mailing Address - Fax:330-726-7107
Practice Address - Street 1:1240 BOARDMAN CANFIELD RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4044
Practice Address - Country:US
Practice Address - Phone:330-726-1689
Practice Address - Fax:330-726-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34002443208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2238091Medicaid