Provider Demographics
NPI:1306924824
Name:FROINES, DAVID LEE (DC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LEE
Last Name:FROINES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 KITSAP PLACE
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9447
Mailing Address - Country:US
Mailing Address - Phone:360-692-0181
Mailing Address - Fax:360-692-3847
Practice Address - Street 1:2851 NW KITSAP PL
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9447
Practice Address - Country:US
Practice Address - Phone:360-692-0181
Practice Address - Fax:360-692-3847
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA602071522OtherUBI
WAU22686Medicare UPIN
WAAB18438Medicare ID - Type UnspecifiedGROUP
WA602071522OtherUBI