Provider Demographics
NPI:1730320037
Name:FROBESE, JACQUELYN KYRA (DC)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:KYRA
Last Name:FROBESE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 TEBBETTS RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-4513
Mailing Address - Country:US
Mailing Address - Phone:207-752-7257
Mailing Address - Fax:
Practice Address - Street 1:251 CENTRAL AVE STE 10
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4188
Practice Address - Country:US
Practice Address - Phone:207-752-7257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1065111N00000X
MECR1883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor