Frase, Dewane D.

Frase, Dewane D. is an individual health care provider with primary practice located at N9691 State Highway 13 , Phillips WI 54555-7771. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Frase, Dewane D. can be contacted via phone (715) 339-2052.

Contact Information

Primary practice address
N9691 State Highway 13 Phillips WI 54555-7771
Phone: (715) 339-2052
Fax: (715) 339-2014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3088-012 Wisconsin

Profile Details

NPI number 1720169683
LBN Legal business name Frase, Dewane D.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720169683 NPPES
Wisconsin MEDICAID 38939800
Wisconsin Other 5820107910001

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