Provider Demographics
NPI:1336664333
Name:FROMER CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:FROMER CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:BART
Authorized Official - Last Name:FROMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:323-962-8520
Mailing Address - Street 1:5123 W SUNSET BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5779
Mailing Address - Country:US
Mailing Address - Phone:323-962-8520
Mailing Address - Fax:323-962-8520
Practice Address - Street 1:5123 W. SUNSET BLVD.
Practice Address - Street 2:#202
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5779
Practice Address - Country:US
Practice Address - Phone:323-962-8520
Practice Address - Fax:323-962-6832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty