Provider Demographics
NPI:1447032420
Name:FRIEDEL, ELISHA (DC)
Entity type:Individual
Prefix:DR
First Name:ELISHA
Middle Name:
Last Name:FRIEDEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ELISHA
Other - Middle Name:
Other - Last Name:MARGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:147 W ASTOR CIR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8151
Mailing Address - Country:US
Mailing Address - Phone:614-639-1696
Mailing Address - Fax:
Practice Address - Street 1:1011 FL-7 D
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411
Practice Address - Country:US
Practice Address - Phone:561-333-8353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty