Healthcare Provider Details
I. General information
NPI: 1487619482
Provider Name (Legal Business Name): DEBBIE FRISCH R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/20/2006
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 E. HAMPDEN AVE SUITE 430
ENGLEWOOD CO
80113-2770
US
IV. Provider business mailing address
601 E. HAMPDEN AVE SUITE 430
ENGLEWOOD CO
80113-2770
US
V. Phone/Fax
- Phone: 303-788-8355
- Fax: 303-788-4448
- Phone: 303-788-8355
- Fax: 303-788-4448
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: