Provider Demographics
NPI:1215111851
Name:FROEHLICH CHIROPRACTIC INC
Entity type:Organization
Organization Name:FROEHLICH CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FROEHLICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-910-8042
Mailing Address - Street 1:1540 SCALP AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3309
Mailing Address - Country:US
Mailing Address - Phone:814-467-9442
Mailing Address - Fax:814-248-3314
Practice Address - Street 1:605 SAINT JOHNS RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-6829
Practice Address - Country:US
Practice Address - Phone:717-910-8042
Practice Address - Fax:717-388-8808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1407816333OtherNPI
PA1407816333OtherNPI