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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720169683 | NPPES |
| Wisconsin | MEDICAID | 38939800 | |
| Wisconsin | Other | 5820107910001 |
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