Provider Demographics
NPI:1770705774
Name:WHITMAN, FRANKLIN
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
Last Name:WHITMAN
Suffix:
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 1:1400 KANEPOONUI RD
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-9046
Mailing Address - Country:US
Mailing Address - Phone:808-443-4315
Mailing Address - Fax:
Practice Address - Street 1:1400 KANEPOONUI RD
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-9046
Practice Address - Country:US
Practice Address - Phone:808-443-4315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA188211041C0700X
167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No167G00000XNursing Service ProvidersLicensed Psychiatric Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA18821OtherCLINICAL SOCIAL WORKER
CA13346OtherPSYCHIATRIC TECHNICIAN