Provider Demographics
NPI:1932297389
Name:FRUHBEIS, TRISHA M (DC)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:M
Last Name:FRUHBEIS
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 1:11 HAMPSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-4205
Mailing Address - Country:US
Mailing Address - Phone:603-898-7521
Mailing Address - Fax:603-894-4489
Practice Address - Street 1:11 HAMPSHIRE RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4205
Practice Address - Country:US
Practice Address - Phone:603-898-7521
Practice Address - Fax:603-894-4489
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH099-0492111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHU48274Medicare UPIN
NHRE3008Medicare ID - Type Unspecified