Healthcare Provider Details

I. General information

NPI: 1306947759
Provider Name (Legal Business Name): DONALD EARL FREUDEN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9464 N FEDERAL BLVD
FEDERAL HEIGHTS CO
80260
US

IV. Provider business mailing address

9464 N FEDERAL BLVD
FEDERAL HEIGHTS CO
80260
US

V. Phone/Fax

Practice location:
  • Phone: 303-426-8916
  • Fax: 303-430-1158
Mailing address:
  • Phone: 303-426-8916
  • Fax: 303-430-1158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1064
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: