Provider Demographics
NPI:1902899511
Name:FRANJE, PATRICK EDDIE (LISW)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:EDDIE
Last Name:FRANJE
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 C AVE E
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-4246
Mailing Address - Country:US
Mailing Address - Phone:641-672-3159
Mailing Address - Fax:641-672-3259
Practice Address - Street 1:312 E ALTA VISTA AVE
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-1413
Practice Address - Country:US
Practice Address - Phone:641-684-3138
Practice Address - Fax:641-684-3198
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00915104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA42068106069OtherJOHN DEERE HEALTH
IA800009681OtherRAILROAD MEDICARE
IA48694OtherWELLMARK, INC BCBS
IAI006OtherTRIWEST
IA0272740Medicaid
IA145825OtherHEALTH SOLUTIONS
IA42068106069OtherUNITED BEHAVIORAL HEALTH
IA0272740Medicaid