Provider Demographics
NPI:1215510771
Name:FREUND CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:FREUND CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SERAPHINA
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:FREUND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-634-8553
Mailing Address - Street 1:641 E BLITHEDALE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1477
Mailing Address - Country:US
Mailing Address - Phone:415-634-8553
Mailing Address - Fax:
Practice Address - Street 1:641 E BLITHEDALE AVE STE A
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-1477
Practice Address - Country:US
Practice Address - Phone:415-634-8553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center