Provider Demographics
NPI:1003881715
Name:FROEHLING, ERIC J (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:J
Last Name:FROEHLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:20 N 5 ST
Mailing Address - City:WISHEK
Mailing Address - State:ND
Mailing Address - Zip Code:58495-0125
Mailing Address - Country:US
Mailing Address - Phone:701-452-2593
Mailing Address - Fax:701-452-2763
Practice Address - Street 1:20 N 5 ST
Practice Address - Street 2:
Practice Address - City:WISHEK
Practice Address - State:ND
Practice Address - Zip Code:58495-0125
Practice Address - Country:US
Practice Address - Phone:701-452-2593
Practice Address - Fax:701-452-2763
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
N20040OtherNDBS
ND13065Medicaid
U53659Medicare UPIN
ND13065Medicaid