Provider Demographics
NPI:1316914658
Name:FROHN, IAN THOMAS (DC, ATC/L)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:THOMAS
Last Name:FROHN
Suffix:
Gender:M
Credentials:DC, ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1227
Mailing Address - Country:US
Mailing Address - Phone:508-259-0885
Mailing Address - Fax:
Practice Address - Street 1:229 E MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2807
Practice Address - Country:US
Practice Address - Phone:508-473-2501
Practice Address - Fax:508-473-2550
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2647111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36915OtherBCBS
MAAA14522OtherHARVARD PILGRIM
MA1602161OtherMASSHEALTH
MA679630OtherCIGNA
MA1602161OtherMASSHEALTH