Healthcare Provider Details

I. General information

NPI: 1033721527
Provider Name (Legal Business Name): CAROLINE FRUHLING MS, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 N HIGH ST STE 260
COLUMBUS OH
43202-1142
US

IV. Provider business mailing address

4359 JOHN SHIELDS PKWY STE 302
DUBLIN OH
43017-2740
US

V. Phone/Fax

Practice location:
  • Phone: 614-706-3490
  • Fax:
Mailing address:
  • Phone: 614-309-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: