Provider Demographics
NPI:1447289947
Name:FROERER, DAN (DC)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:
Last Name:FROERER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 E MCKELLIPS RD
Mailing Address - Street 2:SUITE #106
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-2844
Mailing Address - Country:US
Mailing Address - Phone:480-833-0302
Mailing Address - Fax:480-833-0904
Practice Address - Street 1:1919 E MCKELLIPS RD
Practice Address - Street 2:SUITE #106
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-2844
Practice Address - Country:US
Practice Address - Phone:480-833-0302
Practice Address - Fax:480-833-0904
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor