Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 2647 | MA |
NPI | 1316914658 |
---|---|
Provider Name | Dr. Ian Thomas Frohn |
First Address | Hopedale, MA 01747-1227 |
Second Address | Milford, MA 01757-2807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1602161 | MASSHEALTH (01) | MA |
679630 | CIGNA (01) | MA |
AA14522 | HARVARD PILGRIM (01) | MA |
Y36915 | BCBS (01) | MA |