Healthcare Provider Details
I. General information
NPI: 1932297389
Provider Name (Legal Business Name): TRISHA M FRUHBEIS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/11/2006
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11 HAMPSHIRE RD
SALEM NH
03079-4205
US
IV. Provider business mailing address
11 HAMPSHIRE RD
SALEM NH
03079-4205
US
V. Phone/Fax
- Phone: 603-898-7521
- Fax: 603-894-4489
- Phone: 603-898-7521
- Fax: 603-894-4489
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 099-0492 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: