Provider Demographics
NPI:1003147570
Name:FREVILLE, CHRISTOPHER E (LAC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:E
Last Name:FREVILLE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6795 E TENNESSEE AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1614
Mailing Address - Country:US
Mailing Address - Phone:720-383-4228
Mailing Address - Fax:
Practice Address - Street 1:6795 E TENNESSEE AVE
Practice Address - Street 2:STE 150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1614
Practice Address - Country:US
Practice Address - Phone:720-383-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-23
Last Update Date:2015-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU-1565171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist