Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 579 | ND |
NPI | 1003881715 |
---|---|
Provider Name | Dr. Eric J Froehling |
First Address | Wishek, ND 58495-0125 |
Second Address | Wishek, ND 58495-0125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13065 | (05) | ND |
N20040 | NDBS (01) | |
U53659 | (02) |