Provider Demographics
NPI:1902902554
Name:FRIELING, RODNEY (DC)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:
Last Name:FRIELING
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 1:6295 LEHMAN DR # 103
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1473
Mailing Address - Country:US
Mailing Address - Phone:719-592-9400
Mailing Address - Fax:719-592-9401
Practice Address - Street 1:6295 LEHMAN DR # 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1473
Practice Address - Country:US
Practice Address - Phone:719-592-9400
Practice Address - Fax:719-592-9401
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO44503Medicare ID - Type Unspecified