Provider Demographics
NPI:1538854807
Name:FRANKLIN, ERNEST ANDRE (TRANSPORTATION)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:ANDRE
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3384 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-5730
Mailing Address - Country:US
Mailing Address - Phone:216-356-7362
Mailing Address - Fax:
Practice Address - Street 1:3384 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-5730
Practice Address - Country:US
Practice Address - Phone:216-356-7362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRW124093343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)