Provider Demographics
NPI:1548967821
Name:SMITH, FRANK HERNY JR
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:HERNY
Last Name:SMITH
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-1738
Mailing Address - Country:US
Mailing Address - Phone:234-205-8142
Mailing Address - Fax:
Practice Address - Street 1:1106 MILLER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-1738
Practice Address - Country:US
Practice Address - Phone:234-205-8142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker