Provider Demographics
NPI:1447947684
Name:FROST, JAMES LEE
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LEE
Last Name:FROST
Suffix:
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 1:825 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1852
Mailing Address - Country:US
Mailing Address - Phone:330-329-5528
Mailing Address - Fax:
Practice Address - Street 1:3258 NIDOVER DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4628
Practice Address - Country:US
Practice Address - Phone:234-867-8260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)