Provider Demographics
NPI:1689806200
Name:FRISCH FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FRISCH FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:FRISCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-871-4451
Mailing Address - Street 1:111 CLEBOURNE ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-1758
Mailing Address - Country:US
Mailing Address - Phone:803-547-1245
Mailing Address - Fax:
Practice Address - Street 1:1698 HIGHWAY 160 W
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8032
Practice Address - Country:US
Practice Address - Phone:803-547-1245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty