Individual provider · Type 1 NPI
Brooke Nichole Frye, DC
Chiropractor · Glen Carbon, IL
NPI number
1386780773
Active
Practice location
3809 S. State Route 159
Glen Carbon, IL 62034-3020
Fax (618) 205-8664
Mailing address
3809 S State Route 159
Glen Carbon, IL 62034-3020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.010829 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1386780773
Brooke Nichole Frye, DC's National Provider Identifier is 1386780773, issued on Jan 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Glen Carbon, IL. The record was last updated on Aug 6, 2024.