Provider Demographics
NPI:1619231933
Name:FRAHM, LOGAN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:LOGAN
Middle Name:JAMES
Last Name:FRAHM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 E LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-3404
Mailing Address - Country:US
Mailing Address - Phone:831-288-0627
Mailing Address - Fax:831-851-3289
Practice Address - Street 1:978 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076
Practice Address - Country:US
Practice Address - Phone:831-288-0627
Practice Address - Fax:831-851-3289
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor