Healthcare Provider Details

I. General information

NPI: 1730233925
Provider Name (Legal Business Name): SARAH MARY FRINGS-NETYS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARY FRINGS DC

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 HORICON ST
MAYVILLE WI
53050-1428
US

IV. Provider business mailing address

935 HORICON ST
MAYVILLE WI
53050-1428
US

V. Phone/Fax

Practice location:
  • Phone: 920-387-3240
  • Fax: 920-387-4245
Mailing address:
  • Phone: 920-387-3240
  • Fax: 920-387-4245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3902012
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR007387
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: