Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 36911 | AZ |
N | 207N00000X | Dermatologist | 48990 | MN |
Y | 207N00000X | Dermatologist | 9204 | SD |
N | 207N00000X | Dermatologist | ME103184 | FL |
NPI | 1033220538 |
---|---|
Provider Name | Dr. Jocelyn June Frohm |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Sioux Falls, SD 57105-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 13/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000837200 | (05) | FL |
236011 | (05) | AZ |
594640000 | (05) | MN |
I 61285 | (02) | MN |
P00437364 | MEDICARE RAILROAD (01) | MN |