Provider Demographics
NPI:1972971463
Name:FRIEMEL CHIROPRACTIC PC
Entity Type:Organization
Organization Name:FRIEMEL CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:FRIEMEL
Authorized Official - Last Name:PANEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-888-1978
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:52767-0226
Mailing Address - Country:US
Mailing Address - Phone:563-888-1978
Mailing Address - Fax:
Practice Address - Street 1:24609 PLEASANT VALLEY
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:IA
Practice Address - Zip Code:52767
Practice Address - Country:US
Practice Address - Phone:563-888-1978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty