Provider Demographics
NPI:1194740985
Name:FROGLEY CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:FROGLEY CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:FROGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-638-6222
Mailing Address - Street 1:1505 S GLENBURNIE RD
Mailing Address - Street 2:UNIT C
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562
Mailing Address - Country:US
Mailing Address - Phone:252-638-6222
Mailing Address - Fax:252-638-3780
Practice Address - Street 1:1505 S GLENBURNIE RD
Practice Address - Street 2:UNIT C
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562
Practice Address - Country:US
Practice Address - Phone:252-638-6222
Practice Address - Fax:252-638-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC790271GMedicaid
0845MOtherBCBS