Provider Demographics
NPI:1245270776
Name:FRANK, LOUIS JAY (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS JAY
Middle Name:
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LOUIS
Other - Middle Name:JAY
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:P.O. BOX 187
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819
Mailing Address - Country:US
Mailing Address - Phone:802-748-9000
Mailing Address - Fax:802-748-9031
Practice Address - Street 1:459 PORTLAND ST - SUITE 6
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819
Practice Address - Country:US
Practice Address - Phone:802-748-9000
Practice Address - Fax:802-748-9031
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT42-00067702084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry