Provider Demographics
NPI:1215191788
Name:TODD T. FRISCH, D.C. P.C.
Entity Type:Organization
Organization Name:TODD T. FRISCH, D.C. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:T
Authorized Official - Last Name:FRISCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-207-6600
Mailing Address - Street 1:510 BAXTER RD.
Mailing Address - Street 2:STE. 8
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017
Mailing Address - Country:US
Mailing Address - Phone:636-207-6600
Mailing Address - Fax:636-207-6631
Practice Address - Street 1:510 BAXTER RD.
Practice Address - Street 2:STE. 8
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017
Practice Address - Country:US
Practice Address - Phone:636-207-6600
Practice Address - Fax:636-207-6631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004519111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO00030884Medicare PIN