Provider Demographics
NPI:1295884237
Name:FROEHLING THERAPEUTIC SERVICES PC
Entity type:Organization
Organization Name:FROEHLING THERAPEUTIC SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FROEHLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-452-2593
Mailing Address - Street 1:20 N. 5TH ST.
Mailing Address - Street 2:PO BOX 125
Mailing Address - City:WISHEK
Mailing Address - State:ND
Mailing Address - Zip Code:58495-0125
Mailing Address - Country:US
Mailing Address - Phone:701-452-2593
Mailing Address - Fax:701-452-2763
Practice Address - Street 1:20 N. 5TH ST.
Practice Address - Street 2:
Practice Address - City:WISHEK
Practice Address - State:ND
Practice Address - Zip Code:58495-0125
Practice Address - Country:US
Practice Address - Phone:701-452-2593
Practice Address - Fax:701-452-2763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND13065Medicaid
NDN20040OtherBLUE CROSS
ND18705Medicaid
NDN20040Medicare PIN
NDN712487Medicare PIN
NDN712486Medicare PIN
NDU53659Medicare UPIN
NDN20040OtherBLUE CROSS
ND13065Medicaid