Colin W Frogley, DC
Individual provider Active NPI Sports Physician Chiropractor · Soquel, CA
NPI 1124084074 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1124084074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- License
- 17438 (CA)
- Practice address
- 4769 Soquel Dr
Soquel, CA 95073-2457 - Phone
- (831) 462-3350
- Fax
- (831) 462-6258
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 17438 | CA | Yes |
Addresses
Primary practice location
4769 Soquel Dr
Soquel, CA 95073-2457
Mailing address
4769 Soquel Dr
Soquel, CA 95073-2457
Phone (831) 462-3350
Other providers in Soquel, CA
- Hasanna Fletcher
- Forward Day LLC
- Jordan Foster
- Kecia Fowler
- Leslie Carol French-Baxter
- Kirstin Linne Gagarin
- Luis Manuel Galvan
- Katie Lynne Garner
- Melissa Gelin
- Kyriea Giegerich
All providers in Soquel, CA · Sports Physician Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.