Provider Demographics
NPI:1770575268
Name:FRANK, THOMAS MICHAEL (MS)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:MICHAEL
Last Name:FRANK
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 PLANK RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5168
Mailing Address - Country:US
Mailing Address - Phone:540-371-3277
Mailing Address - Fax:866-350-4441
Practice Address - Street 1:1931 PLANK RD
Practice Address - Street 2:SUITE 206
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5168
Practice Address - Country:US
Practice Address - Phone:540-371-3277
Practice Address - Fax:866-350-4441
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000150231H00000X
VA2101000334237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist