NPI 1962547356 · live from the CMS NPI Registry
Jill A Frerichs, DPM
Podiatrist in Clive, IA. National Provider Identifier 1962547356, active.
NPI record
| NPI | 1962547356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 12499 University Ave, Suite 210, Clive, IA 50325 |
| Practice phone | 515-440-2676 |
| Enumerated | February 21, 2007 |
| Last updated | January 23, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 792 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.