Provider Demographics
NPI:1811515026
Name:FRUEHLING, JAMES K
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:K
Last Name:FRUEHLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:NE
Mailing Address - Zip Code:68335-0187
Mailing Address - Country:US
Mailing Address - Phone:402-499-4739
Mailing Address - Fax:402-223-5277
Practice Address - Street 1:900 W COURT ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3526
Practice Address - Country:US
Practice Address - Phone:402-223-5277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE329103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent