Provider Demographics
NPI:1154668580
Name:FRERKING, APRIL (LAC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:FRERKING
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W MAIN ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2727
Mailing Address - Country:US
Mailing Address - Phone:417-527-3904
Mailing Address - Fax:
Practice Address - Street 1:500 W MAIN ST
Practice Address - Street 2:SUITE 403
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2727
Practice Address - Country:US
Practice Address - Phone:417-699-6077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012023704171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist