Provider Demographics
NPI:1679758767
Name:FRYE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:FRYE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-886-4255
Mailing Address - Street 1:4619 POST RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-4150
Mailing Address - Country:US
Mailing Address - Phone:401-886-4255
Mailing Address - Fax:401-886-4255
Practice Address - Street 1:4619 POST RD
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-4150
Practice Address - Country:US
Practice Address - Phone:401-886-4255
Practice Address - Fax:401-886-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty