MEDICARE: DR. CHRIS JAMES FROGLEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	04844	IA
2	111N00000X	Chiropractor	6193648-1202	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639161565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRIS JAMES FROGLEY DC

Provider Business Mailing Address
First Line	:	275 BESSIE LN
Second Line	:
City	:	PROVIDENCE
State	:	UT
Zip	:	84332-9107
Country	:	US
Telephone Number	:	435-753-8898
Fax Number	:	435-753-8898

Provider Business Practice Location Address
First Line	:	275 BESSIE LN
Second Line	:
City	:	PROVIDENCE
State	:	UT
Zip	:	84332-9107
Country	:	US
Telephone Number	:	435-753-8898
Fax Number	:	435-753-8898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/08/2007

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