Provider Demographics
NPI:1487694154
Name:FRANKEL, JEFFREY MARC (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:MARC
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16259 SYLVESTER ROAD SW
Mailing Address - Street 2:303
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3059
Mailing Address - Country:US
Mailing Address - Phone:206-244-2822
Mailing Address - Fax:206-243-7807
Practice Address - Street 1:16259 SYLVESTER RD SW
Practice Address - Street 2:303
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3049
Practice Address - Country:US
Practice Address - Phone:206-244-2822
Practice Address - Fax:206-243-7807
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00022889174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA04495Medicare UPIN
WAG00101679Medicare ID - Type UnspecifiedMEDICARE NUMBER