Individual
DR. JASON TYLER FRANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 488-2264
Mailing address
225 CROSSLAKE DR, EVANSVILLE, IN 47715-8198
(812) 477-1558
(812) 488-2264
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
02004200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107136
—
IL
01
—
0739010001
MEDICARE NSC
IL
01
—
0739010002
MEDICARE NSC
IL
01
—
0739010005
MEDICARE NSC
IL
01
—
0739010006
MEDICARE NSC
IL
01
—
0739010008
MEDICARE NSC
IL
01
—
087587
HEALTH ALLIANCE
IL
01
—
3200053
BCBS
IL
01
—
CD4744
RAILROAD MEDICARE GROUP #
IL
01
—
P00079718
RR MEDICARE
IL
Enumeration date
08/05/2006
Last updated
06/26/2013
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