Provider Demographics
NPI:1013984954
Name:FRAUM CHIROPRACTIC LIFE CENTER, P.A.
Entity Type:Organization
Organization Name:FRAUM CHIROPRACTIC LIFE CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VIICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-681-7777
Mailing Address - Street 1:PO BOX 23768
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29925-3768
Mailing Address - Country:US
Mailing Address - Phone:843-681-7777
Mailing Address - Fax:843-681-7775
Practice Address - Street 1:1403 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1654
Practice Address - Country:US
Practice Address - Phone:843-681-7777
Practice Address - Fax:843-681-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty