Provider Demographics
NPI:1043037260
Name:FRANKLIN, MICHAEL ONEAL JR
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ONEAL
Last Name:FRANKLIN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 W CHEYENNE AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-3931
Mailing Address - Country:US
Mailing Address - Phone:702-608-4226
Mailing Address - Fax:
Practice Address - Street 1:570 W CHEYENNE AVE STE 20
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-3931
Practice Address - Country:US
Practice Address - Phone:702-608-4226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner