Friesen Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FRIESEN CHIROPRACTIC CLINIC, INC.

Practice address

513A W Main St
Sun Prairie, WI 53590-2833

Phone

(608) 825-8111

Fax

(608) 825-8111

NPI assigned

Jan 21, 2009

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mitchell T Friesen, D.C.NPI 1255392627

Title

President

Phone

(608) 825-8111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Friesen, D.C.

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1255392627
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1568600096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513A W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902833",
            "telephone_number": "608-825-8111",
            "fax_number": "608-825-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513A W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902833",
            "telephone_number": "608-825-8111",
            "fax_number": "608-825-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIESEN CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-825-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Folefac Fofuelaka
• Michelle L Ford, PT
• Brenda L Forster, NP
• Brenda Frasser
• Freedom Love Acceptance Therapy & Educational Center LLC
• Mitchell Friesen, D.C.
• Nicole Marie Gallman, D.D.S.
• Tyree Gamble, LPC, MS, NCC
• Noah F Garber, MD
• Vanessa Christine Garnhart, PHARMD.

• Chiropractor in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.