Provider Demographics
NPI:1215957329
Name:FROEHLICH, CHRISTOPHER F (LAC, DOM)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:F
Last Name:FROEHLICH
Suffix:
Gender:M
Credentials:LAC, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2717 MIAMISBURG CENTERVILLE RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3797
Mailing Address - Country:US
Mailing Address - Phone:937-681-7881
Mailing Address - Fax:937-312-1132
Practice Address - Street 1:2717 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:SUITE 207
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3797
Practice Address - Country:US
Practice Address - Phone:937-681-7881
Practice Address - Fax:937-312-1132
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000049171100000X
NM579171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist