Provider Demographics
NPI:1285811141
Name:FRANKLIN D DEMINT DO INC
Entity type:Organization
Organization Name:FRANKLIN D DEMINT DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DEMINT
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:740-642-4154
Mailing Address - Street 1:PO BOX 646
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45644-0646
Mailing Address - Country:US
Mailing Address - Phone:740-642-4154
Mailing Address - Fax:740-642-4156
Practice Address - Street 1:11 WARREN DR
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:OH
Practice Address - Zip Code:45644
Practice Address - Country:US
Practice Address - Phone:740-642-4154
Practice Address - Fax:740-642-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005493D207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9332131Medicare PIN