Provider Demographics
NPI:1427095405
Name:THOMAS FREICHELS, CS, APNP
Entity type:Organization
Organization Name:THOMAS FREICHELS, CS, APNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FREICHELS
Authorized Official - Suffix:
Authorized Official - Credentials:APNP
Authorized Official - Phone:262-782-7911
Mailing Address - Street 1:14854 W MAYFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-6747
Mailing Address - Country:US
Mailing Address - Phone:262-782-7911
Mailing Address - Fax:
Practice Address - Street 1:14854 W MAYFLOWER CT
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-6747
Practice Address - Country:US
Practice Address - Phone:262-782-7911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty