Provider Demographics
NPI:1033220538
Name:FROHM, JOCELYN JUNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:JUNE
Last Name:FROHM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:JUNE
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-328-8600
Mailing Address - Fax:605-328-8601
Practice Address - Street 1:1310 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1501
Practice Address - Country:US
Practice Address - Phone:605-328-8600
Practice Address - Fax:605-328-8601
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48990207N00000X
AZ36911207N00000X
FLME103184207N00000X
SD9204207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000837200Medicaid
MNP00437364OtherMEDICARE RAILROAD
MN594640000Medicaid
AZ236011Medicaid
FLBR338ZMedicare PIN
FL000837200Medicaid
AZZ116637Medicare PIN
AZ236011Medicaid