Friesen, Mitchell

Friesen, Mitchell is an individual health care provider with primary practice located at 513 W Main St Suite A, Sun Prairie WI 53590-2833. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Friesen, Mitchell can be contacted via phone (608) 825-8111.

Contact Information

Primary practice address
513 W Main St Suite A Sun Prairie WI 53590-2833
Fax: (608) 825-8111
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3018-012 Wisconsin

Profile Details

NPI number 1255392627
LBN Legal business name Friesen, Mitchell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 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 1255392627 NPPES
Wisconsin MEDICAID 38875100

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