Provider Demographics
NPI:1942205729
Name:PREGLER, FRANK CLARK II (DO)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:CLARK
Last Name:PREGLER
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1748
Mailing Address - Country:US
Mailing Address - Phone:814-454-5886
Mailing Address - Fax:814-452-4466
Practice Address - Street 1:3710 PINE AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1748
Practice Address - Country:US
Practice Address - Phone:814-454-5886
Practice Address - Fax:814-452-4466
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006906-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012079740001Medicaid
599578Medicare ID - Type Unspecified
PA0012079740001Medicaid