Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NS0005X | Chiropractic Sports Physician | 1463 | WI |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 1463 | WI |
NPI | 1316000482 |
---|---|
Provider Name | Dr. Douglas Iver Framness |
First Address | Marshfield, WI 54449-0476 |
Second Address | Marshfield, WI 54449-4604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38756600 | (05) | WI |
T61940 | (02) | WI |