Provider Demographics
NPI:1932597580
Name:FRISCH, TRENT (DC)
Entity Type:Individual
Prefix:DR
First Name:TRENT
Middle Name:
Last Name:FRISCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5740 BROOKLYN BLVD
Mailing Address - Street 2:SUITE NUMBER 100
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3062
Mailing Address - Country:US
Mailing Address - Phone:763-561-4045
Mailing Address - Fax:763-561-8690
Practice Address - Street 1:5740 BROOKLYN BLVD
Practice Address - Street 2:SUITE NUMBER 100
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3062
Practice Address - Country:US
Practice Address - Phone:763-561-4045
Practice Address - Fax:763-561-8690
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor