Provider Demographics
NPI:1255482469
Name:FRYMARK, EMIL J (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:J
Last Name:FRYMARK
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 COLLEGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-5164
Mailing Address - Country:US
Mailing Address - Phone:336-294-9617
Mailing Address - Fax:336-294-9419
Practice Address - Street 1:529 COLLEGE RD
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-5163
Practice Address - Country:US
Practice Address - Phone:336-294-9617
Practice Address - Fax:336-294-9419
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7151231H00000X
NC1215237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter