Provider Demographics
NPI:1962036772
Name:FRIED, KARIN E
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:E
Last Name:FRIED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300118
Mailing Address - Street 2:
Mailing Address - City:DE BORGIA
Mailing Address - State:MT
Mailing Address - Zip Code:59830-0118
Mailing Address - Country:US
Mailing Address - Phone:440-666-9326
Mailing Address - Fax:
Practice Address - Street 1:690 THOMPSON-DEBORGIA RD
Practice Address - Street 2:
Practice Address - City:DE BORGIA
Practice Address - State:MT
Practice Address - Zip Code:59830
Practice Address - Country:US
Practice Address - Phone:440-666-9326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker