Froberg, Brent Douglas
Froberg, Brent Douglas is an individual health care provider with primary practice located at 2079 Mildred St W Fl 6 , Tacoma WA 98466-6133. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Froberg, Brent Douglas can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
2079 Mildred St W Fl 6
Tacoma WA 98466-6133
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | CH60766830 | Washington |
Profile Details
| NPI number | 1659894020 |
|---|---|
| LBN Legal business name | Froberg, Brent Douglas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2017 |
| Last updated | Dec 13th, 2022 - about 2 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 | 1659894020 | NPPES |
| Washington | Other | CH60766830 | CHIROPRACTIC LICENSE |
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